我国医保基金运行效率提升的组态路径研究——基于DEA模型与模糊集定性比较分析  

Study on the Configuration Path for Improving the Efficiency of China′s Medical Insurance Fund Operation:Based on DEA Model and Fuzzy-Set Qualitative Comparative Analysis

作　　者：张国海[1] 周亮 ZHANG Guohai;ZHOU Liang(School of Finance and Public Administration,Anhui University of Finance and Economics,Bengbu 233030,China)

机构地区：[1]安徽财经大学财政与公共管理学院,安徽蚌埠233030

出　　处：《河北科技大学学报（社会科学版）》2024年第1期42-50,共9页Journal of Hebei University of Science and Technology:Social Sciences

基　　金：安徽省高校人文社会科学研究重点项目(SK2021A0274)。

摘　　要：以我国31个省(自治区、直辖市)为研究样本,基于数据包络分析方法计算各省级医保基金运行效率,并提取区域经济水平、政府支持水平、老龄化水平、城市化水平以及卫健医疗水平等5个指标,运用模糊集定性比较分析方法揭示我国医保基金运行效率差异的条件组态和作用机制。研究发现,我国各地区呈现出两种不同的高医保基金运行效率模式,以及三种低医保基金运行效率组态路径;通过对比高、低组态的关系发现,在一定条件下政府支持水平与城市化水平是影响医保基金运行效率的核心因素。产生高、低医保基金运行效率差异的原因具有非对称性,引起低医保基金运行效率的路径并不是高医保基金运行效率路径的对立面。Taking 31 provinces(autonomous regions,province-level municipalities) in China as research samples,data envelopment analysis method was used to calculate the operation efficiency of medical insurance funds in each province,and then five indicators,regional economic level,government support level,aging level,urbanization level and medical level,were extracted.Fuzzy-set qualitative comparative analysis method was used to reveal different configuration and mechanism of operational efficiency of medical insurance funds in China.The research finds that there are two different modes of high medical insurance funds operation efficiency and three different configuration paths of low medical insurance funds operation efficiency in various regions in China.By comparing and observing the high and low configurations,it is found that under certain conditions,the level of government support and urbanization are the core factors affecting the operation efficiency of medical insurance funds.The reason for the difference between the operating efficiency of high and low medical insurance funds is asymmetric,that is,the path that causes the operation efficiency of low medical insurance funds is not the opposite of the path of high medical insurance funds operating efficiency.

关 键 词：医保基金运行效率 数据包络分析 模糊集定性比较分析 

分 类 号：F842.684[经济管理—保险]