广东省新型农村合作医疗效率与潜力研究

发布时间：2018-06-02 02:34

本文选题：新农村合作医疗 + 超效率DEA　；参考：《仲恺农业工程学院》2013年硕士论文

【摘要】：新型农村合作医疗制度作为一项重要的医疗改革制度在我国农村地域已经执行十年之久,对提高我国农村社会保障水平,促进农村社会民生建设起到关键作用。通过研究新型农村合作医疗,可以进一步了解我国新型农村合作医疗制度实施的社会效益和经济效益及其发展潜力,从而为合理配置农村医疗资源、优化农村合作医疗制度实施方式提供科学决策依据。本研究论文以广东省新农村合作医疗为研究对象,采用数据包络分析法(DEA)为主要研究工具,对广东省19个城市的新型农合的技术效率等四种不同效率进行定量分析,并提出新型农村合作医疗资源合理配置的优化措施。研究过程结合广东省新农村合作医疗的实际情况设置了中央的财政补助、地方的财政补助、个体的缴费3个投入变量和门诊补偿的总人数、门诊补偿的总金额、住院补偿总的人数、住院补偿的总金额、住院正常分娩补偿的总人数、住院正常分娩补偿的总金额6个产出变量,利用数据包络分析法中的CCR模型、BCC模型和超效率模型,对广东省的19个地级市进行效率(纯技术效率、规模效率、技术效率、超效率)和潜力分析。研究结果表明：(1)根据超效率值19个城市可以划分为4种不同的类型,其中效率超高城市和效率超低城市的相对效率差异极大,但这两类城市所占总体比例低；(2)纯技术无效和规模无效是大部分城市技术无效的原因；(3)技术无效的城市在投入和／或产出方面都存在不同程度的优化和调整空间,调整值和效率值关系密切。最后从3个方面提出了相关的意见和建议。
[Abstract]:As an important medical reform system, the new rural cooperative medical system has been implemented in rural areas for ten years, which plays a key role in improving the level of rural social security and promoting the construction of rural society and people's livelihood. Through the study of the new rural cooperative medical system, we can further understand the social and economic benefits of the implementation of the new rural cooperative medical care system and its development potential, so as to rationally allocate rural medical resources. Optimize the rural cooperative medical system to provide scientific decision-making basis. Taking the New Rural Cooperative Medical system (NCMS) of Guangdong Province as the research object and using the data Envelopment Analysis method (DEAA) as the main research tool, this paper quantitatively analyzes the technical efficiency of the new rural cooperative medical system in 19 cities in Guangdong Province. And put forward the new rural cooperative medical resources rational allocation of optimization measures. According to the actual situation of the new rural cooperative medical system in Guangdong Province, the research process has set up the central financial subsidy, the local financial subsidy, the three input variables of individual contribution and the total number of outpatient service compensation, and the total amount of outpatient service compensation. The total number of compensation in hospital, the total amount of compensation in hospital, the total number of compensation in normal delivery in hospital, and the total amount of compensation in normal delivery in hospital were 6 output variables. The CCR model and super efficiency model were used in data envelopment analysis. This paper analyzes the efficiency (pure technical efficiency, scale efficiency, technical efficiency, super efficiency) and potential of 19 prefectural cities in Guangdong province. The results show that 19 cities can be divided into 4 different types according to the super-efficiency value, in which the relative efficiency of ultra-high efficiency cities and ultra-low efficiency cities vary greatly. However, these two types of cities account for a low proportion of the total. (2) ineffective pure technology and ineffective scale are the reasons for the invalidity of technology in most cities. (3) cities with ineffective technology have different degrees of optimization and adjustment in terms of input and / or output. The adjustment value and the efficiency value are closely related. Finally, some suggestions and suggestions are put forward from three aspects.
【学位授予单位】：仲恺农业工程学院
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：F842.684;F323.89;R197.1

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