Study On The Difference And Convergence Of Health Expenditure Production Efficiency Of Jiangxi Provincial Government

In March 2009,the State Council promulgated the Opinions on Deepening the Reform of the Medical and Health System to the Society.In November 2012,the 18 th National Congress of the Communist Party of China was held in Beijing.The report of the 18 th National Congress of the Communist Party of China made it clear that "improving the national health policy and providing safe,effective,convenient and inexpensive public health for the masses and basic medical services".November 10,2015 morning,the Central Financial Leading Group meeting for the first time put forward the "supply side reform." Chairman Xi Jinping made an important speech: "In the moderate expansion of aggregate demand at the same time,efforts to strengthen the supply side of the structural reform,and strive to improve the quality and efficiency of the supply system." Supply side of the nature of reform is from the supply and production side,through the liberation of productivity,and promote economic development,its core is to improve the total factor productivity.In this context,this paper uses DEA method and convergence analysis to study the efficiency of government health expenditure in 11 cities of Jiangxi province,and summarizes the reasons for the difference of production efficiency of government health expenditure in each region.In order to puts forward feasible suggestions to improve the efficiency of government health expenditure.Based on the existing literatures,this paper studies the relevant theories and research of public economics and health economics,and uses DEA two-stage model to study the production efficiency of health expenditure in Jiangxi province from static analysis and dynamic analysis respectively.And elaborate the relevant theoretical basis and define the relevant concepts,then determine the measurement model of government health expenditure production efficiency to lay a solid theoretical foundation for the subsequent empirical research.Based on the metafrontier malmquist productivity index method in the empirical research,this paper chooses the data of government health expenditure in 11 cities.The results of static analysis show that the average comprehensive technical efficiency difference between Jiangxi Province in 2009 and 2014 is not obvious,but the average comprehensive efficiency level of each city is quite different,and the combination of Gannan area Technical efficiency level is higher than the northern Jiangxi province.Through the dynamic analysis,it is found that the reason for the lower stage of the first and second stage of the MMPI is the retreat of the technical efficiency.Furthermore,the convergence of the government health expenditure production efficiency in Jiangxi Province is analyzed.The results show that the stage and the proportion of urban population,fertility rate and total cost of health to GDP ratio have a significant influence on the efficiency of health and output efficiency of Jiangxi provincial government.The results show that the production efficiency of health expenditure in Jiangxi Province is relatively high,but the comprehensive technical efficiency of Jiangxi Province is higher than that of northern Jiangxi region.This efficiency advantage is mainly reflected in the pure technology efficiency and scale efficiency.In addition,technical regression is an important reason for the inefficiency of medical hardware output efficiency and medical service output.In order to solve the above problems,this paper attempts to put forward the following suggestions: First,to optimize the structure of government health expenditure,to maintain a certain level of health expenditure;Second,to strengthen the municipal government health budget expenditure supervision and management,establish and improve the health expenditure management mechanism;Third,to improve the level of medical and health resources planning,the rational allocation of medical and health resources;Fourth,to improve the overall quality of medical institutions,and strengthen the medical staff service awareness.