Research on the operation efficiency of the basic medical insurance system for urban and rural residents in China and its influencing factors
10.3969/j.issn.1674-2982.2024.01.008
- VernacularTitle:我国城乡居民基本医疗保险制度运行效率及影响因素研究
- Author:
Li-Liang ZHANG
1
;
Jia-Shuai TIAN
;
Jing-Yi ZHANG
;
Shan-Shan DAI
;
Xin-Yu CAI
;
Guang-Ying GAO
Author Information
1. 首都医科大学公共卫生学院 北京 100069
- Keywords:
Basic medical insurance for urban and rural residents;
Super efficient SBM;
Malmquist index;
Tobit;
Influencing factors
- From:
Chinese Journal of Health Policy
2024;17(1):68-74
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Operational efficiency and influencing factors of China's basic medical insurance system from 2020 to 2021 is conducted to provide reference for improving the operational efficiency and optimizing the input-output relationship.Methods:The super-efficiency SBM model based on unexpected output and the Malmquist index are used to measure the static and dynamic efficiency of resident medical insurance in 31 provinces in China,and Tobit regression analysis is employed to analyze the influencing factors.Results:The overall operational efficiency of resident medical insurance still needs improvement.The operational efficiency of resident medical insurance in the central and western regions is lower than that in the eastern region,and the gap is significant.Different levels and regions have differentiated main constraints on the operational efficiency of resident medical insurance.In terms of dynamic efficiency,the total factor productivity of resident medical insurance operation shows an increasing trend,mainly due to technological progress.In terms of influencing factors,the degree of aging,the level of medical expenses and the level of medical insurance supervision have a significant impact on the operational efficiency.Suggestions:Efforts should be made to bridge regional disparities,promote the equitable development of medical insurance,reasonably control the level of medical expenses,strengthen the supervision of medical insurance funds,and implement active aging policies.
