Analysis of Medical Health System Based on Game Cross-Efficiency Data Envelopment Analysis (DEA) Model and Global Malmquist Index

Abstract

Considering the competition of medical resource in the medical system, this paper uses the game crossefficiency DEA model and global Malmquist index to dynamically analyze the input—output efficiency, total factor productivity (TFP) change and its decomposition of the medical system, based on the data of 40 years of Reform and Opening Up in Guizhou Province. The results show that the technological efficiency of medical system in Guizhou Province has experienced a trend of “two declines and two rises,” the TFP change and technological change in Guizhou Province show a similar trend “increasing at first, then decreasing, and increasing again.” The efficiency change showed a decreasing trend in the first 30 year of Reform and Opening Up, and then showed a strong increasing trend. Through the efficiency analysis and the kernel density estimation, the progress of medical system in Guizhou has not been expected since the Reform and Opening Up, and there are structural differences in the medical system in Guizhou. In order to improve the efficiency and TFP of medical system, and improve the overall health level in Guizhou, it is suggested that Guizhou should actively learn from the advanced and mature medical reform model in the process of deepening the medical reform, strengthen the technical innovation in the medical field, make full use of Big Data to coordinate the development of the medical system in all prefectures or cities, and realize the sharing of medical resources.