基于基尼系数和数据包络分析的贵州省医疗资源配置公平性及效率研究OA

Objective This study aims to analyze the equity and efficiency of medical resource allocation in Guizhou Province from 2015 to 2023,and to provide a reference for optimizing medical resource allocation.Method The Gini coefficient was used to analyze the equity of medical resource allocation,and the data envelopment analysis(DEA)-BCC model and DEA-Malmquist model were applied for static and dynamic efficiency analysis,respectively.Results From 2015 to 2023,the population-based Gini coefficient of medical resources in Guizhou Province ranged from 0.038 5 to 0.147 9,while the geographic area-based Gini coefficient ranged from 0.212 9 to 0.386 8.Static analysis indicated that,among the cities and prefectures in 2023,4 were DEA efficient,2 were weakly DEA efficient,and 3 were DEA inefficient.Dynamic analysis showed that,from 2015 to 2023,the average total factor productivity change of medical resource allocation in Guizhou Province was 0.993,with total factor productivity change exceeding 1 in three cities and falling below 1 in six.Conclusions From 2015 to 2023,investment in medical resources in Guizhou Province shows an overall increasing trend,and the equity of medical resource allocation across the population dimension has been continuously improved.Some cities and prefectures have relatively high efficiency in medical resource allocation,but the overall provincial efficiency remains suboptimal.It is recommended to further scientifically plan the structure of medical resources,allocate medical resources,and enhance the overall balance and allocation efficiency.