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Analysis of the Operational Efficiency of Basic Medical Insurance for Urban and Rural Residents: Based on a
Tong Liu1, Yufei Gao1, Hui Li1
1Health Management College, Anhui Medical University, Hefei 230032, China.
International Journal of Environmental Research and Public Health
|November 11, 2022
Summary
China
Area of Science:
- Health Economics
- Public Policy
- Health Services Research
Background:
- China integrated urban and rural medical insurance in 2016, creating a unified basic medical insurance system.
- The expansion of this system necessitates research into the efficiency of its fund expenditure.
- Comprehensive resident protection and increasing fund expenditure highlight the need for efficiency analysis.
Purpose of the Study:
- To analyze the operational efficiency of basic health insurance for urban and rural residents in China.
- To identify factors influencing health insurance operational efficiency.
- To propose strategies for enhancing the efficiency of China's basic health insurance system.
Main Methods:
- A three-stage Data Envelopment Analysis (DEA) was employed.
- Panel data from 31 Chinese provinces between 2017 and 2020 was utilized.
- Analysis focused on the efficiency of basic health insurance fund expenditure.
Main Results:
- China's health insurance operations are in a developmental stage.
- Four regions achieved efficiency frontier status, while Guizhou province exhibited the lowest efficiency.
- Gross Domestic Product (GDP) and fiscal investment in social security were found to reduce input redundancy, enhancing operational efficiency.
Conclusions:
- Economic development and diversified financing are crucial for improving health insurance efficiency.
- Enhancing healthcare service quality can drive efficiency gains.
- Strengthening health insurance supervision through multiple measures is recommended to boost operational efficiency.
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