潍坊市新型农村合作医疗基金运行效率分析

发布时间：2018-01-23 20:26

本文关键词： 新农合基金效率筹资总额补偿总额数据包络分析　出处：《中国卫生资源》2017年04期 　论文类型：期刊论文

【摘要】：目的 :分析2006—2012年潍坊市8个县市新农合基金的运行效率变化。方法 :利用报表调查法,获得2006—2012年的8个县市社会、经济和新农合的基本数据。选择各县市参合人数、筹资总额为投入指标,门诊补偿总额和住院补偿总额为产出指标,利用数据包络分析(DEA)计算各县市效率得分指数。结果 :除昌邑市外,其他7个县市7年间均出现不同程度的基金超支或过多结余,昌邑市在7年间均未出现超支。新医改前(2006—2008年)运行效率有效县市数低于新医改后(2010—2012年),新医改前后差异有统计学意义。临朐县在7年间均未出现DEA有效。结论 :新农合运行的成熟期较发展期基金运行效率有所提高。门诊补偿总额在基金总额中占比大的县市,基金运行效率较高。
[Abstract]:Objective: to analyze the operational efficiency changes of the new rural cooperative fund in 8 counties and cities of Weifang city from 2006 to 2012. Methods: by using the method of report form investigation, we obtained 8 counties and cities from 2006 to 2012. The basic data of economy and NCMS. Select the number of people participating in each county and city, the total amount of financing is the input index, the total compensation of outpatient service and the total compensation of hospitalization are the output indicators. Using data envelopment analysis (DEAA) to calculate the efficiency score index of each county and city. Results: except Changyi, all the other seven counties and cities had different degrees of fund overrun or excessive balance in the past seven years. Changyi City in seven years did not appear overspending. Before the new medical reform 2006-2008) effective operation efficiency of counties and cities lower than the new health care reform after 2010-2012). There was significant difference before and after the new medical reform. There was no DEA in Linqu county in 7 years. Conclusion:. The mature period of NCMS is more efficient than that of fund in development period. The total outpatient compensation accounts for a large proportion of the total funds in counties and cities. Fund operation efficiency is high.
【作者单位】：潍坊医学院公共课教育部;"健康山东"重大社会风险预测与治理协同创新中心;潍坊市昌邑围子医院宋庄社区卫生服务中心;安丘市中医院护理部;潍坊市人民医院药剂科;潍坊市社会保障中心;济宁医学院;
【基金】：国家自然科学基金项目(71673202,71273191) 山东省自然科学基金项目(ZR2014GL012,ZR2016HL45) 山东省高等学校人文社科项目(J15WB02,J15WB43) “健康山东”重大社会风险预测与治理协同创新中心资助项目(XT1401001,XT1401002,XT1401003)
【分类号】：F323.89;F842.684;R197.1
【正文快照】： 新型农村合作医疗制度(以下简称“新农合”)在缓解农村居民“因病致贫,因病返贫”方面成效显著[1]。但随着国务院《关于整合城乡居民基本医疗保险制度的意见》的实施,各省已出台具体实施并轨运行方案[2]。潍坊市新农合2002年在部分县市区试点,2006年全面开展,2009年新医改后成

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