我国东部地区残疾人基本康复服务效率研究

doi:10.3969/j.issn.1006-9771.2022.10.004

Abstract

Abstract:

Objective To understand the development of basic rehabilitation services for people with disabilities in the regions of Eastern China.

Methods To measure and evaluate the efficiency of basic rehabilitation services for people with disabilities in ten provinces and cities in eastern China from 2018 to 2020 based on the improved three-stage Window DEA model.

Results The efficiency of basic rehabilitation services for people with disabilities in eastern China was generally high, and Beijing and Zhejiang were the most efficient and DEA effective. The gross domestic product promoted the efficiency, and the number of people with disabilities limited the efficiency of basic rehabilitation services for people with disabilities. The low scale efficiency was an important reason for the imbalance of development among regions and the restriction of the efficiency of basic rehabilitation services for people with disabilities.

Conclusion Locatities need to adjust the scale and structure of input according to the strong and effective target value, improve the social security system and the living standards. The top ones can focus on quality development, and the regions with more slack movement should focus on resource allocation and synchronization of the scale of resources, to improve the efficiency of basic rehabilitation services for people with disabilities.

Key words: people with disabilities, basic rehabilitation service system, operating efficiency, three-stage Window DEA model

CLC Number:

YANG Jinru,CHANG Haoran,WANG Guanjun,WU Chunyan,HU Shanju,JING Qi. Operation efficiency of basic rehabilitation services for people with disabilities in the regions of Eastern China[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(10): 1143-1149.

Figures/Tables 7

References 20

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变量类型	指标名称	变量名称	变量解释	数据来源
投入指标	X₁	残疾人康复费用	残联部门用于本地区残疾人基本康复服务年度支出决算费用	各省市残联官网年公开信息
	X₂	康复机构数量	规范化开展残疾人康复服务的机构,主要包括残联康复机构、卫生康复机构等	《中国残疾人事业统计年鉴》
	X₃	康复机构在岗人才	包括各类康复机构的专业技术人员、管理人员等	《中国残疾人事业统计年鉴》
产出指标	Y₁	接受基本康复服务人数	通过各类康复机构接受康复医疗、康复训练等基本康复服务的人数	《中国残疾人事业统计年鉴》
产出指标	Y₂	接受辅助器具适配人数	通过各类康复机构接受辅助器具适配和培训的人数	《中国残疾人事业统计年鉴》
环境指标	E₁	地区生产总值	某地区一定时期内所有生产活动的结果	《中国统计年鉴》
环境指标	E₂	残疾人口数	某地区内持证残疾人数	《中国残疾人事业统计年鉴》

城市	2018年			2019年			2020年			TE均值	PTE均值	SE均值
城市	TE	PTE	SE	TE	PTE	SE	TE	PTE	SE	TE均值	PTE均值	SE均值
北京	1.00	1.00	1.00	1.00	1.00	1.00	1.00	1.00	1.00	1.00	1.00	1.00
天津	0.25	0.37	0.67	0.26	0.65	0.40	0.52	0.99	0.52	0.34	0.67	0.53
河北	1.00	1.00	1.00	1.00	1.00	1.00	0.98	1.00	0.98	0.99	1.00	0.99
上海	0.20	0.21	0.94	0.21	0.24	0.89	0.63	0.79	0.79	0.35	0.41	0.87
江苏	0.65	0.75	0.86	0.66	0.69	0.96	1.00	1.00	1.00	0.77	0.81	0.94
浙江	1.00	1.00	1.00	1.00	1.00	1.00	1.00	1.00	1.00	1.00	1.00	1.00
福建	0.33	0.39	0.85	0.67	0.94	0.72	1.00	1.00	1.00	0.67	0.78	0.86
山东	0.60	1.00	0.60	1.00	1.00	1.00	0.85	1.00	0.85	0.82	1.00	0.82
广东	0.42	0.49	0.84	0.70	0.71	0.98	0.48	0.72	0.67	0.53	0.64	0.83
海南	0.61	1.00	0.61	0.47	1.00	0.47	0.48	1.00	0.48	0.52	1.00	0.52
均值	0.61	0.72	0.84	0.70	0.82	0.84	0.79	0.95	0.83	0.70	0.83	0.84

项目	残疾人康复费用投入冗余		康复机构数量投入冗余		康复机构在岗人数投入冗余
项目	B值	t值	B值	t值	B值	t值
常数项	-578.77±1.00	-578.766	-86.47±1.00	-86.471	-4057.06±1.00	-4057.057
地区生产总值	-0.01±0.04	-0.346	-0.01±0.01	-0.005	-0.05±0.11	0.416
残疾人口数	0.01±0.01	0.083	0.01±0.01	0.108	0.01±0.01	0.061
σ²	5565708.50±1.00	5565708.500	45571.28±1.00	45571.276	16041356.00±1.00	16041356.000
γ	0.89	0.897	0.81	1.383	0.72	0.977
LR test	26.09^a		24.22^a		13.89^a

城市	调整前			调整后			效率增幅
城市	TE	PTE	SE	TE	PTE	SE	效率增幅
北京	1.00	1.00	1.00	1.00	1.00	1.00	-
天津	0.34	0.67	0.53	0.30	0.41	0.73	-0.04
河北	0.99	1.00	0.99	0.93	0.97	0.95	-0.06
上海	0.35	0.41	0.87	0.35	0.46	0.73	-
江苏	0.77	0.81	0.94	0.99	1.00	0.99	0.22
浙江	1.00	1.00	1.00	1.00	1.00	1.00	-
福建	0.67	0.78	0.86	0.60	0.69	0.87	-0.07
山东	0.82	1.00	0.82	0.93	1.00	0.93	0.11
广东	0.53	0.64	0.83	0.80	0.85	0.94	0.27
海南	0.52	1.00	0.52	0.36	1.00	0.36	-0.16
均值	0.70	0.83	0.84	0.73	0.84	0.85	0.03

城市	TE	规模报酬	参考标杆	强有效目标值			投入规模差值
城市	TE	规模报酬	参考标杆	X₁	X₂	X₃	X₁	X₂	X₃
天津	0.30	ins	北京(0.46)、海南(0.54)	1790.21	92.14	2683.44	229.80	2.86	-242.44
河北	0.93	drs	江苏(0.95)、山东(0.05)	1048.78	492.85	14837.55	-272.48	-48.85	-2473.55
上海	0.35	drs	北京(0.78)、山东(0.22)	2062.00	309.18	10009.00	1218.23	773.82	-1201.00
福建	0.60	drs	北京(0.50)、江苏(0.50)	666.42	312.00	8993.50	-98.85	38.00	1129.50
广东	0.80	drs	北京(0.92)、江苏(0.04)、山东(0.04)	877.49	192.64	5502.36	454.64	666.36	25268.64

Operation efficiency of basic rehabilitation services for people with disabilities in the regions of Eastern China

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