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To analyze the comprehensive efficiency and total factor productivity changes of county-level medical and health sub-centers (referred to as “sub-centers”) in Sichuan Province, providing valuable references for the continuous advancement of sub-center construction and the healthy development of grassroots medical and health systems nationwide.
A total of 302 sub-centers in Sichuan Province were selected as the research subjects, and the DEA-Malmquist index model was employed to measure and evaluate their static and dynamic efficiencies.
Using 21 cities and prefectures as decision-making units, the comprehensive efficiency of the sub-centers was 0.884, with 12 cities and prefectures experiencing increasing returns to scale and 9 achieving optimal operational efficiency. Analyzing the time series of the 302 sub-centers as decision-making units, the total factor productivity of the sub-centers increased by 1.4%; regionally, total factor productivity rose in 16 cities and prefectures.
The construction of sub-centers in Sichuan Province has been a successful pilot project, with overall operational efficiency being relatively good. However, significant regional development disparities and insufficient technological advancement persist. The government and relevant departments should continue to strengthen policy guidance, develop scientific and reasonable planning, focus on solidifying the grassroots talent base, and enhance information technology infrastructure to empower the vitality of sub-center healthcare.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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