内蒙古医疗卫生财政支出效率研究

发布时间：2018-03-21 02:19

本文选题：医疗卫生财政支出　切入点：支出效率　出处：《内蒙古财经大学》2017年硕士论文　论文类型：学位论文

【摘要】：医疗卫生服务是公共服务的一个重要组成部分,也是关系民生的一个重大问题,政府医疗卫生支出是医疗卫生事业公共性的体现。国家“十三五”规划纲要中提出要建立健全基本医疗卫生制度,使每个人都能公平享有基本的医疗卫生服务,将基本公共卫生服务作为公共产品向全社会的成员提供。为了贯彻实施国家政策,在提供公共医疗卫生服务、不断深化医疗卫生体制改革的过程中,中央和地方各级政府的医疗卫生财政支出持续增长。但是,扩大医疗卫生财政支出的规模并不一定能够实现医疗卫生财政支出效率的提升。如何提高医疗卫生财政支出效率,是解决不断增长的医疗卫生支出需求和有限的财政收入矛盾的关键所在。内蒙古地处我国西部地区,经济发展较落后,财政收入来源有限,限制其医疗卫生财政支出水平,医疗卫生资源需求与财政投入不相匹配,“看病难、看病贵”等现象仍然存在。因此,研究内蒙古医疗卫生财政支出效率,对加强内蒙古医疗卫生领域财政资金的管理和提高医疗卫生服务水平具有重要意义。本文以提高内蒙古医疗卫生财政支出效率为出发点,以公共产品理论为基础,从投入、产出和效果等方面构建效率指标体系,运用对比分析方法,对内蒙古医疗卫生财政支出进行综合分析,并结合数据包络分析法测算了内蒙古各盟市的医疗卫生财政支出的综合技术效率、纯技术效率和规模效率。研究发现,近年来内蒙古医疗卫生财政支出效率从微观角度来看,投入和产出状态较好,但各盟市的支出效率差异较大,医疗卫生支出管理有待加强。对此,本文立足于内蒙古的实际情况,提出合理调整投入规模、优化产出配置的规划能力,加强对医疗卫生财政资金的监管,进一步提高内蒙古的医疗卫生财政支出效率。
[Abstract]:Medical and health services are an important component of public services, and also a major issue related to the people's livelihood. Government medical and health expenditure is the embodiment of the public nature of medical and health undertakings. In the outline of the National 13th Five-Year Plan, it is proposed to establish and improve the basic medical and health care system so that everyone can enjoy basic medical and health services equitably. To provide basic public health services as public goods to members of the whole society. In order to implement national policies, in the process of providing public health services and deepening the reform of the medical and health system, However, expanding the scale of medical and health expenditure does not necessarily improve the efficiency of medical and health expenditure. How to improve the efficiency of medical and health financial expenditure, It is the key to solve the contradiction between the increasing demand for medical and health expenditure and the limited fiscal revenue. Inner Mongolia is located in the western part of China, where the economic development is relatively backward, the source of financial revenue is limited, and the level of medical and health financial expenditure is restricted. The need for medical and health resources does not match with the financial input, and the phenomenon of "difficult to see a doctor, expensive to see a doctor" still exists. Therefore, the study on the efficiency of medical and health financial expenditure in Inner Mongolia, It is of great significance to strengthen the management of medical and health financial funds in Inner Mongolia and to improve the level of medical and health services. This paper takes improving the efficiency of medical and health expenditure in Inner Mongolia as the starting point, taking the theory of public goods as the basis, and taking the investment as the basis. The efficiency index system is constructed in terms of output and effect, and the comprehensive analysis of medical and health expenditure in Inner Mongolia is carried out by using the method of comparative analysis. Combined with data envelopment analysis, the comprehensive technical efficiency, pure technical efficiency and scale efficiency of medical and health financial expenditure in Inner Mongolia are calculated. The state of input and output is good, but the expenditure efficiency of each league city is quite different, and the management of medical and health expenditure needs to be strengthened. In view of this, based on the actual situation of Inner Mongolia, this paper puts forward the planning ability of adjusting the scale of input reasonably and optimizing the allocation of output. Strengthen the supervision of medical and health financial funds and further improve the efficiency of medical and health expenditure in Inner Mongolia.
【学位授予单位】：内蒙古财经大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：F812.45

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