| 摘要: |
| 目的：通过国际间比较反映我国卫生体系的投入产出水平，获得近年来我国卫生体系的健康生产效率绩效及其变化趋势，并提供促进健康生产效率的政策建议。方法：通过描述我国卫生投入和健康产出的国际排名及其变化趋势反映卫生体系的相对效率水平，并以人均卫生总费用作为投入指标、健康结局作为产出指标，通过数据包络分析和健康生产函数法构建前沿健康生产函数、中国的健康生产函数与边际健康生产函数。结果：近年来我国卫生体系的健康生产效率水平与相似卫生发展水平并处于生产前沿上的国家在65%-73%之间；随着卫生投入的增加，我国边际健康产出水平有所下降并不断趋于平缓。结论：我国当前的健康生产效率在国际上相对较高，但在卫生总费用快速增长的背景下，如何提高边际健康产出、提高卫生体系的健康生产效率是未来医药卫生体制改革的重点。 |
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| China’s Health Production Efficiency Based on International Comparisons |
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| Abstract: |
| Objective: To obtain the health production efficiency performance and its changing trend of China’s health system in recent years by adopting international comparison, and to provide policy recommendations to improve efficiency. Methods: This study describes the relative efficiency of health system in China by reporting the international ranking of health inputs and outputs indicators. We also employ total health expenditure per capita as input indicator and health outcomes as output indicators to construct frontier health production function, China ’’s health production function and marginal health production function using Data Envelopment Analysis and production function method. Results: In the past decade, the efficiency performance of China’s health system compared to efficient countries with similar health development level is between 65% and 73%. With the increasing trend of health investment, China’’s marginal health output has been declining and tends to be gentle. Conclusion: The current health production efficiency in China is relatively high. However, how to improve the efficiency and marginal health output is the focus of future health system reform under the background of rapid growth of total health expenditure. |
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