叶云, 田时中.省级公共医疗卫生供给绩效评估实证研究——基于全面绩效管理的视角[J].重庆工商大学自然科学版,2019,36(5):97-104
省级公共医疗卫生供给绩效评估实证研究——基于全面绩效管理的视角
Empirical Study on Performance Evaluation Model of Provincial Public Health Care Supply from the Perspective of Comprehensive Performance Managrment
  
DOI:
中文关键词:  全面绩效管理  公共医疗卫生  供给绩效  PSR模型  极值熵值法  Tobit模型
英文关键词:comprehensive performance management  public health  supply performance  PSR model  extreme entropy method  Tobit model
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作者单位
叶云, 田时中 1.安徽医科大学 临床医学院合肥230012
2.安徽大学 经济学院合肥 230601 
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中文摘要:
      为了研究安徽省公共医疗卫生供给绩效及其影响因素,从公共服务供给压力、状态和响应3个维度筛选了15个相关指标,构建了评估指标体系,利用最新数据和熵值 Tobit模型对安徽省公共医疗卫生供给绩效及其影响因素进行综合评估,认为样本考察期内安徽省公共医疗卫生供给绩效呈现“快速-平稳-快速-平稳”的动态波动趋势,且供给压力依然较大,供给状态不容乐观,但供给响应指数提升明显;Tobit回归显示,安徽省财政医疗支出占比呈现规模报酬递减效应,人口密度与公共医疗卫生供给绩效呈现负相关关系,而人均地区生产总值、城镇化水平和财政自给率与公共医疗卫生供给绩效呈现正相关关系,但财政自给率的影响不显著,据此,提出了促进省级公共医疗卫生供给绩效提升的相关对策建议。
英文摘要:
      In order to study the performance of public health supply and its influencing factors in Anhui, 15 relevant indicators were selected from the three dimensions of pressure, state and response of public health supply, and the performance evaluation index system of public health supply was constructed for Anhui.The performance of public health supply and its influencing factors were evaluated comprehensively by using the latest data and the entropy-Tobit model in Anhui.It is believed that the performance of public health care supply shows a dynamic fluctuation trend of "fast-stable-fast stable" in Anhui, and that the pressure of public health care supply is still high and the supply situation is not optimistic, but the supply response index has increased significantly.The regression of Tobit model shows that the proportion of public health care expenditure presents the effect of diminishing returns to scale, population density and the performance of public health supply are negatively correlated, while the per capita GDP, urbanization level and fiscal self-sufficiency rate are positively correlated with the performance of public health supply, but the impact of fiscal self-sufficiency rate is not significant.Based on this, some countermeasures and suggestions are put forward to promote the performance of provincial public health supply.
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