A Study On The Impact Of Government Financial Compensation On Service Efficiency Of Urban Public Health Care Institutions

Since the reform and opening up, China’s economic system、social system and scientific education system with the change of market economy to make the corresponding reform and have made remarkable progress, But compared with the reform of medical health system is relatively weak. Although our country’s economic development after the reform and opening up, more and more rich material resources, input in public health efforts are also increasing, but in medical and health field are more and more problems and contradictions. Xian city as an important scientific research industry base in central and western regions of China, whether in the higher education, national defence industry or hi tech industry base in the country’s overall economic layout connects the important status of East and West. At the same time, an important base to carry out the great development of the construction of the western frontier of Xian is also in China, has the vital significance and the function to our country’s development and construction of the entire Western region. In recent years, with the economic and social development level of Xi’an city continuously, Xian city investment in medical and health field also increased year by year, the residents of the medical and health service needs and satisfaction degree of the standard increases. However, how to solve the residents medical treatment is difficult, expensive and how to improve the efficiency of medical and health services and other issues are inceasingly popular attention. 《The CPC Central Committee and State Council on deepening the views of medical and health system reform》No matter what the central government and the local government will earnestly pays attention to the development of medical and health undertakings, input in medical and health field and the growth rate increased year by year and the growth rate should be higher than current fiscal expenditure proportion of investment.The government to increase input in public health has become a consensus and policy implementation.However, the government increases the efficiency of whether financial input to health service fields could improve medical and health services; Government financial input and medical and health institutions service efficiency promotion whether relevance; Government financial input in medical and health institutions of the service efficiency of the extent of impact; The government to increase the medical and health institutions into whether can solve difficult and expensive to see a doctor and how to improve the efficiency of medical and health service issues. Therefore, the research on these problems is very necessary, if there is no clear understanding and Study on these problems, just increase the government financial input can not only solve the doctor facing difficult, expensive, service is the problem of low efficiency and even cause counter productive results. Therefore, to study the government financial input in medical and health field not only has the important theory significance, has the important practical significance and more on the health level and life quality improvement.Taking Xi’an city public medical institutions service efficiency perspective,The government fiscal compensation input as the breakthrough point, Study on the influence of government financial compensation for public health institutions investment service efficiency, in order to provide some reference and reference of Xian City, raise the efficiency of medical health service. In the specific research, firstly the definition of concepts relstcd to the research of government investment and financial compensation in medical and health field theory analysis, including the analysis of the theoretical foundation, the government financial compensation for medical and health cause analysis and comprehensive compensation. Secondly, from the point of view of the history of government fiscal investment shows compensation of medical and health achievements and the problems, from the great historical background for the study of analysis of Xian City financial compensation input in medical and health field to make bedding. Finally, taking Xin urban public medical institutions as he research object.tselects three grade comprehensive hospitals, representative of the city of two general hospitals and community health service of urban grass-roots institutions as the specific object of research. In five years of health related data for analysis of empirical research based on DEA of data envelopment analysis and OLS calculation and analysis of influence of efficiency and service efficiency of regression analysis method in the way of the combination of the city of Xian public medical and health institutions. The scope of the study covers the city public hospital and community health service institutions, can basically reflect the whole condition of city medical service Xian city.The main conclusion of the study is the input to the city’s public medical institutions service efficiency of Xian City Hall financial compensation has certain influence relation ship. One of the urban public hospital service efficiency has correlation effects, but the service efficiency of the output has a crucial role, can not get the financial compensation more into the service efficiency is higher conclusions, but financial compensation as an indispensable important factors affecting investment to public hospital service efficiency output of its function and influence is the. Similarly, also has the effect of input correlation of city community health service efficiency of government financial compensation, but different to the city community health service efficiency of government financial compensation is not only very important, but also to a certain extent, the output of community health service institutions in the city has a decisive influence on service efficiency. At the same time, also reflect the medical and health services in Xian city appeared in the medical treat ment is difficult, expensive and inefficient government service problems of financial compensation effect on efficiency of city public service input in medical and health institutions. Including health structure layout and the allocation of resources caused by the irrational medical health service difficulty; Imperfect total health expenditure insufficient investment and the government financial compensation mechanism of medical and health service by your doctor; Health the management mechanism and incentive mechanism is not perfect cause low efficiency of medical and health services.