| 引用本文: |
尹文强,唐昌海,丰志强,等.分级诊疗视角下山东省村卫生室的供给侧分析[J].中国卫生经济,2017,(5):65-68.[点击复制] |
.Analysis on the supply-side of rural clinics from the perspective of hierarchical diagnosis and treatment[J].CHINESE HEALTH ECONOMICS,2017,(5):65-68.[点击复制] |
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| 摘要: |
| 目的 对分级诊疗制度下村卫生室的供给侧进行分析。方法 基于供给侧理论，运用Cobb-Douglas函数进行定量分析。结果 2012-2014年，固定资产、基本药物补助和人力资源三类资源供给要素的弹性系数分别为0.11、0.218和0.495；人力资源减少对卫生室服务产出下降的贡献率最大，为92.62%。2012-2014年，固定资产弹性系数略有上升，基本药物补助的弹性系数明显下降，人力资源弹性系数先升后降。结论 山东省村卫生室发展处于规模效益递减状态，人力资源是卫生室发展最为重要的动力源，人力资源不足成为当前制约卫生室发展的主要原因，财政投入对卫生室发展的推动力不足且不断弱化。 |
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| Analysis on the supply-side of rural clinics from the perspective of hierarchical diagnosis and treatment |
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| Abstract: |
| Objective To analyze the supply-side of rural clinics from the perspective of hierarchical diagnosis and treatment. Methods Using the Cobb-Douglas function for the quantitative analysis based on the theory of the supply-side. Results The elasticity coefficient for the three kinds of resource supply factors: the fixed assets, the subsidy of the essential medicine and human resources were 0.11, 0.218 and 0.495 by 2012-2014; The reduction of human resource made the maximum contribution for the decrease of the health service output, the contribution rate was 92.62%. In 2012-2014, the elasticity coefficient of the fixed assets increased slightly, the elasticity coefficient of the basic medical subsidy decreased obviously, and the elasticity coefficient of human resources increased first and then decreased. Conclusion The development of rural clinics is in the condition of scale benefits diminishing on Shandong province. Human resource is the most important power producer. The lack of human resources has become the main reason for restricting the development of rural clinics. Financial investment is insufficient to promote the development of rural clinics and the impetus is constantly weak. |
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