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目的:分析2003—2012年全国医疗卫生机构卫生人员数、床位数及万元以上设备台数和业务用房面积等四种主要卫生资源投入与卫生总费用的关联关系。方法:基于2003—2012年“卫生统计年鉴”数据,利用邓氏灰色关联分析应用模型,得到卫生资源投入与卫生总费用关联性的灰关联序。结果:万元以上设备台数与卫生总费用呈现高度并行性变化;床位数、卫生人员数和业务用房面积与卫生总费用的动态关系较弱。结论:(1)设备存量的增加可能是影响卫生总费用上涨的主要因素;(2)设备存量的过快增长极有可能造成资源浪费以及资源配置的不合理。
OBJECTIVE: To analyze the relationship between the input of the four major health resources and the total health expenditure from 2003 to 2012, including the number of health workers in the medical and health institutions, the number of beds and the number of equipment above RMB ¥ 000 and the area of commercial buildings. Methods: Based on the data from 2003-2012, “Health Statistics Yearbook”, we use Deng’s gray relational analysis model to get the gray incidence order of the relationship between the input of health resources and the total cost of health. Results: The number of equipment above RMB10,000 and the total health expenditure presented a high degree of parallelism. The dynamic relationship between the number of beds, the number of health workers and the area of business buildings and the total health expenditure was weak. Conclusions: (1) The increase of equipment inventory may be the main factor affecting the increase of total health expenditure; (2) The excessive growth of equipment inventory will most likely result in waste of resources and unreasonable allocation of resources.