运用Malmquist生产率指数模型和受限因变量Tobit回归模型,测算我国医改前后基层医疗机构服务效率及其主要影响因素的变化.结果显示:医改后,基层医疗机构技术进步的改善使全要素效率有明显提升,且东部地区上升最大,这主要依托于东部地区发达的经济水平;从影响因素来看,政府卫生投入和人力资源投入是医改后影响机构效率的主要因素.针对得出的结论,提出合理化建议.%The change of the service efficiency of primary medical institutions and its main influencing factors before and after the medical reform in China were calculated using Malmquist productivity index model and restricted dependent variable Tobit regression model. The result showed that after the medical reform, the improvement of the technology of the primary medical institutions makes the total factor efficiency obvi-ously improve and the eastern part rises the most, which mainly depends on the developed economic level in the east. From the point of the influ-encing factors, government health investment and human resource investment are the main factors that affect the efficiency of the organization af-ter the medical reform.
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