Objective: To evaluate the efficiency of medical assistance in 87 coordinating districts in Hubei Province in 2019, so as to provide scientific basis for improving the medical assistance system in Hubei Province. Methods: DEA-BCC model was used to calculate the efficiency of medical assistance in Hubei and Bootstrap-DEA method was used correct deviation and analyze efficiency distribution combined with performance benchmarking. Results: The mean efficiency of medical assistance in Hubei before and after rectification was 0.821 and 0.743, respectively, and the pure technical efficiency was lower than the scale efficiency. After correction, 17.24% of the coordinating districts are in the efficiency category that must be improved immediately, and the efficiency varies greatly among the pooling areas within each city. Conclusion: The scale of medical assistance investment in Hubei Province was relatively reasonable, but the level of management technology has a large space to improve. The Bootstrap-DEA method improves the calculation accuracy and further identifies the low efficiency coordinating districts. We should take targeted measures to improve the low efficiency coordinating districts, popularize and apply the management experience of the high efficiency coordinating districts in the same city, and further improve the coordination level of medical assistance in Hubei.
Key words
medical assistance /
efficiency evaluation /
Bootstrap-DEA /
Hubei province
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 王忠平. 明确各级财政投入责任,促进医疗救助健康发展[J].中国医疗保险, 2020(11):30-31.
[2] 杨立雄. 明确制度目标定位,调整救助对象范围[J].中国医疗保险, 2020(11):33-34.
[3] 杨浩,何蓓蓓,郑先平.我国重特大疾病医疗救助效率及其影响因素[J].医学与社会,2021,34(2):51-55.
[4] 钟玉英,司文晴,刘怡辰.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[J].学术研究,2016(11):59-66.
[5] 李春根,夏珺.社会救助财政支出的理论分析框架规模、结构、绩效[M].北京:经济科学出版社,2018.
[6] 林闽钢. 中国社会救助高质量发展研究[J].苏州大学学报(哲学社会科学版),2021,42(04):25-31.
[7] 范仓海,芮韦青.健康扶贫的“优”与“忧”——以A省为例[J].卫生经济研究,2021,38(03):29-32.
[8] 辛艳姣,蒋俊男,王雪峰,等.健康扶贫下重特大疾病医疗救助不同救助方案效果分析[J].中国卫生事业管理,2019,36(08):592-594.
[9] Mayer A, Zelenyuk V.Aggregation of Malmquist productivity indexes allowing for reallocation of resources[J].EUROPEAN JOURNAL OF OPERATIONAL RESEARCH,2014,238(3):774-785.
[10] 陈岩,刘新靓,董四平,等.我国省域医疗服务的全要素生产率[J].中国卫生资源,2020,23(02):122-129.
[11] Li H, Dong S P, Liu T F.Relative efficiency and productivity: a preliminary exploration of public hospitals in Beijing, China[J].BMC HEALTH SERVICES RESEARCH,2014,14.
[12] Camp R C.Benchmarking-The Search for Industry Best Practices that Lead to Superior Performance[J].International Journal of Integrated Care,2013,52(2):261,263.
[13] 郝晋伟,江冬冬,黄倩,等.湖北省乡镇卫生院医疗服务效率评价研究[J].中国农村卫生事业管理,2020,40(11):786-790.
[14] 尹航,林闽钢.弱势群体医疗救助实施效果评估——基于“城乡困难家庭社会政策支持系统建设项目”调查数据的分析[J].社会保障研究,2017(01):57-64.
[15] 孙菊,秦瑶.医疗救助制度的救助效果及其横向公平性分析[J].中国卫生经济,2014,33(11):22-25.
[16] 陈成文. 论大病医疗救助与新时代“弱有所扶”[J].社会科学家,2018(01):51-56.
[17] 李秀丽,金今花,张美丽,等.我国医疗救助制度的功能受限困境及其优化建议[J].中国卫生经济,2021,40(05):29-32.
[18] 娄学. 医疗救助执行过程中的难点及对策[J].中国医疗保险,2020(03):29-31.
[19] 尹刚,孔玉梅,朱江汉,等.基于Bootstrap-DEA法的武汉市三级公立医院技术效率评价[J].医学与社会,2019,32(04):54-57.
[20] 陶长琪,王志平.技术效率的地区差异及其成因分析——基于三阶段DEA与Bootstrap-DEA方法[J].研究与发展管理,2011,23(06):91-99.
