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近年来中国城乡卫生经济系统投入产出的生产率水平总体呈上升趋势,但增长绩效却是不平衡的,中国农村卫生经济系统投入产出的生产率增长速度远远高于城市,无论农村还是城市的卫生经济系统生产率提高全部由技术进步因素所致,而配置效率则呈现整体无效状态,这种配置无效是由管理效率和规模效率下降所致。从管理效率变化看农村地区管理无效程度高于城市地区;和城市地区相比农村地区规模效率下降的主要原因来自于卫生经济资源投入相对不足,这种不足包括投入总量不足和投入结构的失衡。由于农村地区现有的低水平卫生从业人员与其医疗设施不匹配所导致的结构失衡可能是目前亟待解决的问题。
In recent years, the productivity level of input and output in China’s urban and rural health-care economic system has generally risen, but the growth performance has been uneven. The productivity of China’s rural health-economic system has been rising at a much faster rate than that of urban areas, both rural and urban The improvement of the productivity of the health economic system is all caused by technological advancement, while the disposition efficiency shows the overall ineffectiveness. This ineffective disposition is caused by the decrease of management efficiency and scale efficiency. From the change of management efficiency, the ineffectiveness of management in rural areas is higher than that in urban areas. The main reason for the decline of scale efficiency in urban areas compared with that in rural areas comes from the relative insufficiency of investment in health economic resources. Such deficiencies include the imbalance in input and input structure . The structural imbalance caused by the mismatch between the existing low-level health workers in rural areas and their medical facilities may be the immediate problem to be solved.