我国省际卫生经济投入产出的Malmqust生产率指数在绝大多数地区呈现平均上升趋势。我国卫生经济投入产出效率增长较快的省份,其生产率增长源泉几乎都来自于技术进步的变化,与此同时,相对于技术的不断进步,中国省际卫生经济的资源配置效率并未获得相应改善。相对于中西部地区,东部地区各省区的相对技术效率呈下降趋势;而从技术进步变化趋势看,除了西部几个省份以外,2002~2007年间全国各省区卫生经济投入产出的技术进步效应都非常显著。相对技术效率的进一步分解结果表明,西部各省区的卫生经济投入产出并未出现拥挤状态,此时的规模无效应该是卫生资源投入不足所导致。
The input-output Malmquist productivity index of China's provincial health economy takes an average upward trend in most regions. For the provinces with a relatively rapid growth of input-output efficiency, the productivity growth almost comes from changes of technical growth. At the same time, compared with the continuous technical growth, the resource allocation efficiency of provincial health economy did not improve accordingly. Relative to middle and west regions, the relative technical efficiency of east regions had a downward tendency. Seen from the variation trend of technical growth, most provinces had an obvious technical growth effect besides several western provinces. To further dispose relative technical efficiency, we can see that there are no congestions in western regions, and the scale inefficiency should be the result scarce health resources input.