Study On Operation Efficiency Evaluation Of Basic Medical Insurance For Urban And Rural Residents In Shandong Province

Along with the economic and social development,people’s material and spiritual life level unceasing enhancement,the problem of urban and rural differences is becoming more and more obvious,urban and rural residents basic medical insurance of health is a reflection of social fairness,is the security of the residents to enjoy equality of medical services,and narrow the gap between urban and rural and the realization of the important policy of income redistribution system.In 2016 the State Council explicitly put forward the basic system of policy integration across the country,by the end of 2018,897.41 million people took part in urban and rural residents basic medical insurance,as China’s most populous province of shandong province as well as the strategy of strong province in China,the pilot,since 2014 since the implementation of urban and rural residents basic medical insurance has made great progress.However,since the operating efficiency of medical service agencies,medical insurance funds and resource allocation is not high enough,the utilization efficiency of medical resources is greatly reduced,and the security level cannot meet the needs of urban and rural residents for medical security,and the poverty caused by illness and the return to poverty still exist.Therefore,it is of great significance to evaluate and study the operational efficiency of the current basic medical insurance for urban and rural residents in order to improve shandong province and even the whole medical insurance system.Through the combination of descriptive analysis and empirical statistical analysis,this paper makes a systematic evaluation of the basic medical insurance for urban and rural residents in shandong province.First of all,the basic medical insurance for urban and rural residents in shandong province’s basic development condition are analyzed,according to the time sequence,the shandong province health system generalizes the development since the founding of the summary,the current urban and rural residents in shandong province will be the study of the operating mechanism of the basic medical insurance,through the analysis of descriptive way for the basic medical insurance for urban and rural residents in shandong province efficiency analysis and study laid a solid foundation;Secondly,the empirical research model needed for the evaluation of operational efficiency is determined,and the evaluation index system of multi-input and multi-output is constructed.Again,by using dataenvelopment analysis(DEA)and integrated application of Malmquist index model,respectively from the Angle of the static and dynamic,the level of cross section and panel,the operation efficiency are analyzed,on the basis of introducing PanelData Tobit model for external explanation on the panel data regression variables to find related influencing factors,and to determine the relationship between;Finally,the conclusion is drawn and some Suggestions are put forward.Based on the analysis of the operation efficiency of basic medical insurance for urban and rural residents in shandong province,this paper draws the following conclusions: at present,basic medical insurance for urban and rural residents in shandong province has been basically integrated,but in the operation situation and operation status,the differences between cities are obvious;The basic medical insurance fund for urban and rural residents has the problem of imbalanced income and expenditure,and its sustainability is insufficient in the process of operation.The operation efficiency of basic medical insurance for urban and rural residents needs to be improved.More than half of the prefecture-level cities have not reached an effective state,and the overall operation is unstable.External factors have a significant impact on the operation efficiency of basic medical insurance for urban and rural residents.This paper puts forward the following Suggestions :(1)scientific integration of urban and rural medical insurance,to promote the balanced development of basic medical insurance for urban and rural residents;(2)diversified development of financing standards,to build a stable financing structure of basic medical insurance for urban and rural residents;(3)rationally allocate medical resources and medical insurance funds to improve the operation efficiency of basic medical insurance for urban and rural residents;(4)strengthen government management,improve market order of medical services,and strengthen supervision of medical services.