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基于2003～2009年中国31个省份的面板数据,利用Malmquist-Tobit两阶段法评估了中国医疗卫生体系生产效率的动态变化及其决定因素。研究发现,2003～2009年间中国医疗卫生体系的质量调整Malmquist生产效率指数呈下降趋势,不同地区、省份之间的生产效率增长存在较大差异,导致差异出现的主要决定因素是营利性医院的比例、平均住院费用、病床周转次数和平均住院日。
Based on the panel data of 31 provinces in China from 2003 to 2009, the two-stage method of Malmquist-Tobit was used to evaluate the dynamic changes and the determinants of the production efficiency of China’s healthcare system. The study found that the quality adjustment Malmquist production efficiency index of China’s health care system showed a downward trend between 2003 and 2009, and there was a big difference in productivity growth among different regions and provinces. The main determinant of the differences was the proportion of for-profit hospitals , Average hospitalization costs, bed turnover and average length of stay.