关于中国城市雇员基本医疗保险运营效率的研究 - 基于三阶段的DEA模型
Nan Peng1, Hanyang Guo1, You Wu1
1School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, Jiangsu, People's Republic of China.
Risk management and healthcare policy
|December 25, 2023
概括
中国城市雇员基本医疗保险的运营效率较低,区域差异很大. 改善资源配置,监督和技术可以提高医疗保险基金的绩效.
科学领域:
- 卫生经济学 卫生经济学
- 公共政策 公共政策
- 医疗保健管理的管理
背景情况:
- 中国的城市雇员基本医疗保险 (UEBMI) 对公共卫生至关重要.
- 评估UEBMI的运营效率对于可持续的医疗保健融资至关重要.
- 由于UEBMI业绩存在显著的区域差异,因此需要进行有针对性的分析.
研究的目的:
- 从2012年到2021年,评估UEBMI在中国31个省份的运营效率.
- 确定影响UEBMI运营效率的关键因素.
- 为提高UEBMI业绩提供基于证据的建议.
主要方法:
- 采用了三阶段数据包裹分析 (DEA) 模型.
- 对中国31个省份的运营效率进行了测量和评估.
- 分析了环境因素对效率的影响.
主要成果:
- 发现UEBMI在中国的运营效率显著低,区域和时间差异很大.
- 城市化程度和失业率对UEBMI的运营效率产生了积极的影响.
- 财政收入和支出比率对UEBMI的效率产生了负面影响.
结论:
- 提高UEBMI的运营效率需要战略性资源投资和利用.
- 加强立法,基金监督和公平的基金管理至关重要.
- 采用现代高科技的进步可以全面提高UEBMI基金的效率.
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