医疗救助有效率吗:中国省际医疗救助支出效率评估——基于考虑环境因素的三阶段DEA模型  

Assessing the Ef?ciency of Medical Aid Expenditure among the Provinces in China:Based on Tree-stage DEA Model Considering Environmental Factors

作　　者：钟玉英[1] 司文晴[1] 刘怡辰[1] 

机构地区：[1]华南理工大学公共管理学院

出　　处：《学术研究》2016年第11期59-66,74,共9页Academic Research

基　　金：华南理工大学中央高校基本科研业务费专项课题"中外社会救助比较研究"(x2gg D2153020)的阶段性成果

摘　　要：医疗救助是针对贫困人群一种托底的医疗保障和专项救助,能有效缓解因病致贫的现象。提高医疗救助支出效率对提高我国政府财政支出效率、推进医疗救助领域的精准扶贫有重要意义。已有研究主要从医疗救助横向公平性和筹资水平的绩效角度评估医疗救助的效率,且较少分离环境因素对效率的影响。本研究利用2014年我国31个省市的医疗救助数据,在控制环境因素的基础上,通过RAM模型为基础的三阶段DEA方法,测算医疗救助支出效率。研究发现环境因素的影响确实存在;且在剥离外部环境和随机误差的影响后,各省医疗救助的效率值较未剥离前整体呈现出下降趋势;与经济发展水平不一致的是,不同区域医疗救助支出效率的差异较大,按西部、中部、东部依次降低。政府财政干预力量和老龄化水平对医疗救助支出效率影响显著。Medical aid is an underpinning of medical security for the poor,which can effectively alleviate the poverty caused by disease.To improve medical aid,expenditure efficiency plays an important role in improving the fiscal expenditure of our government.The earlier researches mainly focused on the expenditure efficiency of medical assistance from the perspective of horizontal equity and ? nancing level.What's more,the earlier researches seldom pay attention to the ef? ciency of medical aid with environmental factors.Based on the control of environmental factors,this paper uses the three-stage DEA method to measure the efficiency of medical assistance expenditure.It finds that the influence of environmental factors does exist.Meanwhile,when we excludes the in? uence the external environment and random error,the provincial medical aid ef? ciency overall shows a downward trend.The difference among different regions is growing larger,inconsistently with the level of economic development.

关 键 词：三阶段DEA模型 医疗救助支出 效率评估 

分 类 号：C913.7[经济管理]