我国城市卫生资源配置效率的时空差异 及影响因素分析--以35个大中城市为例

Objective To analyze the temporal and spatial differences and influencing factors of urban health resource allocation eficiency in China, to provide scientific reference for optimizing urban health resource allocation. Methods Based on the panel data of 35 large and medium-sized cities in China from 2012 to 2021，the super-efficiency SBM model was used to measure the efficiency of urban health resource allocation in China. On this basis, the temporal and spatial differences were analyzed by kernel density estimation and Degum Gini coefficient, and the influence of internal and external factors on health resource allocation efficiency was tested by Tobit model. Results From 2012 to 2021, the average allocation efficiency of urban health resources in China was 0.866, and there were notable regional differences. The difference of hypervariable density (40.7%) was the main source of regional differences. Government health expenditure 侈二一0.071，P<0.01), and the number of beds per thousand people 俗=-0.029, P<0»05) were the influencing factors of urban health resource allocation efficiency in China. There was significant regional heterogeneity in per capita GDP, urbanization rate, government health expenditure, the number of health technicians per thousand people, the number of beds per thousand medical institutions, and the ratio of doctors and nurses. Conclusion It is suggested to optimize the allocation of urban health resources, narrow the regional differences between the eastern, central and western regions, promote the economic initiative of the allocation of health resources, and strengthen the guarantee of government investment. [ABSTRACT FROM AUTHOR]