廣東省新型農(nóng)村合作醫(yī)療效率與潛力研究
本文選題:新農(nóng)村合作醫(yī)療 + 超效率DEA��; 參考:《仲愷農(nóng)業(yè)工程學(xué)院》2013年碩士論文
【摘要】:新型農(nóng)村合作醫(yī)療制度作為一項(xiàng)重要的醫(yī)療改革制度在我國(guó)農(nóng)村地域已經(jīng)執(zhí)行十年之久,對(duì)提高我國(guó)農(nóng)村社會(huì)保障水平,促進(jìn)農(nóng)村社會(huì)民生建設(shè)起到關(guān)鍵作用。通過(guò)研究新型農(nóng)村合作醫(yī)療,可以進(jìn)一步了解我國(guó)新型農(nóng)村合作醫(yī)療制度實(shí)施的社會(huì)效益和經(jīng)濟(jì)效益及其發(fā)展?jié)摿?從而為合理配置農(nóng)村醫(yī)療資源、優(yōu)化農(nóng)村合作醫(yī)療制度實(shí)施方式提供科學(xué)決策依據(jù)。 本研究論文以廣東省新農(nóng)村合作醫(yī)療為研究對(duì)象,采用數(shù)據(jù)包絡(luò)分析法(DEA)為主要研究工具,對(duì)廣東省19個(gè)城市的新型農(nóng)合的技術(shù)效率等四種不同效率進(jìn)行定量分析,并提出新型農(nóng)村合作醫(yī)療資源合理配置的優(yōu)化措施。 研究過(guò)程結(jié)合廣東省新農(nóng)村合作醫(yī)療的實(shí)際情況設(shè)置了中央的財(cái)政補(bǔ)助、地方的財(cái)政補(bǔ)助、個(gè)體的繳費(fèi)3個(gè)投入變量和門(mén)診補(bǔ)償?shù)目側(cè)藬?shù)、門(mén)診補(bǔ)償?shù)目偨痤~、住院補(bǔ)償總的人數(shù)、住院補(bǔ)償?shù)目偨痤~、住院正常分娩補(bǔ)償?shù)目側(cè)藬?shù)、住院正常分娩補(bǔ)償?shù)目偨痤~6個(gè)產(chǎn)出變量,利用數(shù)據(jù)包絡(luò)分析法中的CCR模型、BCC模型和超效率模型,對(duì)廣東省的19個(gè)地級(jí)市進(jìn)行效率(純技術(shù)效率、規(guī)模效率、技術(shù)效率、超效率)和潛力分析。研究結(jié)果表明:(1)根據(jù)超效率值19個(gè)城市可以劃分為4種不同的類(lèi)型,其中效率超高城市和效率超低城市的相對(duì)效率差異極大,但這兩類(lèi)城市所占總體比例低;(2)純技術(shù)無(wú)效和規(guī)模無(wú)效是大部分城市技術(shù)無(wú)效的原因;(3)技術(shù)無(wú)效的城市在投入和/或產(chǎn)出方面都存在不同程度的優(yōu)化和調(diào)整空間,調(diào)整值和效率值關(guān)系密切。最后從3個(gè)方面提出了相關(guān)的意見(jiàn)和建議。
[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.
【學(xué)位授予單位】:仲愷農(nóng)業(yè)工程學(xué)院
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2013
【分類(lèi)號(hào)】:F842.684;F323.89;R197.1
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