CAJ | 학술논문

在DEA-Tobit两阶段分析框架下，利用数据包络分析方法测算广东省21个地级市2003-2012年公共卫生支出的综合技术效率、纯技术效率和规模效率。研究发现，2003-2012年间广东省公共卫生支出效率平均水平偏低，在0.58-0.8范围内波动，且整体呈下降趋势；各地级市卫生支出效率存在显著差异，卫生支出处于中低水平的地区与高水平的广州、深圳两地相比，综合效率值更高。进一步地，采用受限因变量模型研究影响卫生支出效率的因素，发现财政分权、医疗卫生政策、城市化水平和经济发展水平等因素与卫生支出效率呈负相关关系，人口密度、教育水平与其呈正相关系。基于结论，对提高广东省公共卫生支出效率提出相关建议。
재DEA-Tobit량계단분석광가하，이용수거포락분석방법측산광동성21개지급시2003-2012년공공위생지출적종합기술효솔、순기술효솔화규모효솔。연구발현，2003-2012년간광동성공공위생지출효솔평균수평편저，재0.58-0.8범위내파동，차정체정하강추세；각지급시위생지출효솔존재현저차이，위생지출처우중저수평적지구여고수평적엄주、심수량지상비，종합효솔치경고。진일보지，채용수한인변량모형연구영향위생지출효솔적인소，발현재정분권、의료위생정책、성시화수평화경제발전수평등인소여위생지출효솔정부상관관계，인구밀도、교육수평여기정정상관계。기우결론，대제고광동성공공위생지출효솔제출상관건의。
Under the two -stage framework of DEA -Tobit,21 Guangdong municipal cities’public health expenditure efficiencies from 2003 to 2012 are calculated by using Data Envelopment Analysis( DEA) approach,including the composite technical efficiency,pure technical efficiency and the scale efficiency. It finds that the average public health expenditure efficiency was low during the year 2003 to 2012 ,and the data fluctuated from 0. 58 to 0. 8 and experienced a descending trend. The efficiencies vary in different cities;Re-gions like Guangzhou and Shenzhen with a high-level public health expenditure have lower composite techni-cal efficiencies than those with a middle or low-level expenditure. Based on the efficiency scores calculated, a limited dependent variable Tobit model is used to study the relationship between composite technical efficien-cy and the influencing factors. The results show that fiscal decentralization,medical policy,urbanization level and economic growth ratio have negative impacts on efficiency,while education level and population density are positively correlated with efficiency. Finally,some suggestions are presented to improve the public health expenditure efficiency of Guangdong.