| Objective:Based on reasonable model selection and the construction of input-output indicator system,this article takes 21 cities in Guangdong Province from 2018 to 2019 as empirical research samples to evaluate the current situation of drug safety regulatory efficiency,and analysis the impact of the new regulatory system reform on supervision efficiency,hope to provide relevant theoretical and practical support for improving drug safety efficiency and optimizing China’s regulatory system.Methods:To evaluate the static efficiency of drug safety supervision in the sample area from 2018 to 2019 by CCR model,BCC model and super-efficiency DEA model based on data envelopment analysis,specify the effectiveness of each city,and through the analysis of projection difference,the improvement direction of DEA ineffective DMU was proposed.The Malmquist index was used to evaluate the dynamic efficiency of drug safety supervision,and the driving factors of dynamic changes in efficiency were analyzed from the perspective of technological progress,pure technical efficiency,and scale efficiency index.Result of study:(1)The static efficiency evaluation results based on DEA shows that the average comprehensive technical efficiency of Guangdong Province in 2018 and 2019 were 0.637 and 0.737,in the past two years,the cities with effective pure technical efficiency and scale efficiency accounted for less than 10%,and there were both increasing scale and decreasing scale.(2)During the study period,less than 20% of the cities with super-efficiency of supervision were greater than 1,Shantou and Shenzhen ranked highest,but the cities with an average efficiency lower than 0.6 accounted for 42.86%.(3)The projection difference analysis result shows that there was 15 cities existed the phenomenon of redundant input and insufficient output in 2018,compared with 14 cities in 2019.(4)In the dynamic term,the Malmquist index of cities in Guangdong Province was 1.078,the cities with technical efficiency index and technological progress index less than 1respectively accounted for 23.81% and 90.48%,during the period of 2018 to 2019.The main research conclusions:(1)The overall drug safety supervision efficiency of Guangdong Province from 2018 to 2019 was in the low level,there was considerable room for the improvement of the supervision level.(2)The problem of unbalanced development among cities in Guangdong Province was outstanding and the regional regulatory efficiency existed various differences.In addition,most cities have both input redundancy and output deficiency,actual value compared with target value still a wide gap.Therefore,It was recommended to coordinate the allocation of regulatory resources in various regions,and improve the utilization rate of resources effectively.(3)During 2018-2019,the efficiency of drug safety supervision in Guangdong Province was improved slightly,for regions with the Malmquist index less than 1,insufficient technological progress was the main reason to hinder the improvement of regulatory efficiency.(4)Although institutional and system reform has promoted the improvement of regulatory efficiency to a certain extent,the effect was unconspicious.The main influencing factors to restricted the improvement of drug safety supervision efficiency include: inadequate coordination and linkage of supervision,lack of the resultant force;imperfect regulatory legal system and local legislative mechanism;professional brain drain,regulatory power and supervisory tasks imbalances;lack of technology investment,the cnstruction of supervision and inspection institutions lag behind;Unsound social participation mechanism leading to the low participation of other subjects. |
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