我国医疗保障体系绩效及其影响因素:2007-2011

On the Performance of China's Medical Security System and Its Affecting Factors:2007-2011

以9个省市医疗保障体系为决策单元,通过DEA两阶段的分析,首先评估我国2007年到201 1年部分地区医疗保障体系的绩效和全要素生产率变化情况,并通过建立面板Tobit模型,发现2007年到2011年,医疗保障体系投入产出远未处于最优状态。Tobit模型显示,我国城镇化、老龄化都是降低医疗保障体系绩效的重要因素。未来我国医疗保障体系改革,应更加注重市场机制的发挥,大力提升商业保险的作用。

Taking the medical security system of China＇s nine provinces as the decision making unit, this study first evaluates the performance of the medical security system in some regions from 2007 to 2011 and the changes of TFP through an analysis of the two stages of DEA. Then by estab- lishing a panel Tobit model, it is found that the input and output of the medical security system is far from optimal from the year 2007 to 2011. The Tobit model indicates that the urbanization and aging are the important factors reducing the performance of the medical security system in China. For the future reform of the medical security system, it is suggested that China should make the full use of the market mechanism and greatly promote the roles of commercial insurance.