江苏省各市政府疗卫生支出效率评价及其影响 因素分析.pdfVIP

江苏省各市政府医疗卫生支出效率评价及其影响因素分析 中文摘要 江苏省各市政府医疗卫生支出效率评价及其 影响因素分析 中文摘要 随着政府在医疗卫生领域的作用日益凸显和江苏省政府医疗卫生改革的具体实 施，江苏省各市地方政府在医疗卫生方面的投入日益增多，可是政府的财政收入是有 限的。在这样的背景下，我们不仅要关注政府的医疗卫生投入的规模，而且更要关注 政府医疗卫生支出的效率。 本文首先将政府的医疗卫生支出的绩效分割成过程绩效和结果绩效，通过 DEA 模型对江苏省各市地方政府的医疗卫生支出进行绩效评价。我们可以得出过程绩效与 结果绩效的趋势基本吻合，但是综合效率之间存在着明显的差异，主要是因为纯技术 效率和规模效率较低所造成的；为了研究造成结果绩效差异的原因，提高政府医疗卫 生支出的结果绩效，本文在绩效评价的基础上运用Tobit 面板回归模型对江苏省政府 医疗卫生支出的结果绩效进行外部环境因素的回归分析，本文选取的影响因素包括经 济因素、人口因素和体制因素。最后，本文针对数据模型回归的结果进行分析，并提 出相关的政策和建议。 关键词：医疗卫生支出，过程绩效，结果绩效，影响因素 作 者：胡大海 指导老师：陈 忠 I 英文摘要 江苏省各市政府医疗卫生支出效率评价及其影响因素分析 Analysis and evaluation of each city in Jiangsu province government health expenditure efficiency and its affecting factors Abstract With the specific implementation of the role of government in the medical field becoming increasingly prominent and the Jiangsu provincial government health reform, the local government of Jiangsu cities input in medical and health aspects of the growing, but the governments fiscal revenue is limited. In this context, we should not only focus the governments health size, efficiency and more attention should be paid to the government health expenditure. This paper will first divide government health expenditure performance into process performance and result performance, and evaluate the performance of each city in Jiangsu province local government health expenditure through the DEA model. We can draw the process performance and results of performance trends, but the comprehensive efficiency between the obvious differences, mainly because the pure