CAJ | 학술논문

政府医疗卫生支出效率决定医疗卫生服务水平的高低。利用DEA两阶段分析框架，根据2003--2012年中国31个省（市）面板数据，研究中国地方政府医疗卫生支出效率及其影响因素。使用DEA方法测算地方政府医疗卫生支出的综合效率、纯技术效率和规模效率，并从时间和地区两个维度分析这三种效率的差异。最后利用Bootsrap方法对影响效率的各类因素进行回归分析。研究结果表明，地方政府医疗卫生支出效率在样本期间内有明显的地区差异。影响效率的主要因素包括财政分权、户籍制度、医疗卫生改革、城镇化水平、经济发展水平、人口密度和教育水平等。
정부의료위생지출효솔결정의료위생복무수평적고저。이용DEA량계단분석광가，근거2003--2012년중국31개성（시）면판수거，연구중국지방정부의료위생지출효솔급기영향인소。사용DEA방법측산지방정부의료위생지출적종합효솔、순기술효솔화규모효솔，병종시간화지구량개유도분석저삼충효솔적차이。최후이용Bootsrap방법대영향효솔적각류인소진행회귀분석。연구결과표명，지방정부의료위생지출효솔재양본기간내유명현적지구차이。영향효솔적주요인소포괄재정분권、호적제도、의료위생개혁、성진화수평、경제발전수평、인구밀도화교육수평등。
The healthcare expenditure efficiency of the government determines the level of medical and health services. According to the panel date of 31 provinces （cities） in China from 2003 to 2012, this paper analyzes the healthcare expenditure efficiencies of China＇ s local governments and their influencing factors by using a two- stage framework of DEA （Dynamic Efficiency Evaluation）. While the DEA method is adopted to calculate the composite efficiency, pure technical efficiency and scale efficiency of the healthcare expenditure of the local gov- ernments, the differences among these three efficiencies are analyzed from the dimensions of time and region and the Bootstrap method are used to carry out a regression analysis of all the efficiency-influencing factors. The re- sult shows that a significant regional gap exists in the healthcare expenditure efficiencies in the selected period. The major factors that influence the efficiencies include the fiscal decentralization, household registration system, healthcare reform, urbanization level, the level of economic development, population density and education level and so on.