Research On The Performance Of Fiscal Medical And Health Expenditure In Yunnan Province

In recent years,China has focused on improving the capacity of basic public services.Among them,medical care has received attention as a basic project to protect the health of residents and promote social harmony and stability.Yunnan Province also attaches great importance to the development of the medical and health system,and has continuously increased the scale of financial investment in medical and health care.It strives to provide residents with better medical and health services under limited medical and health funds,improve the performance level of medical and health funds,and continuously improve the overall health care system.Provincial medical and health system,improve the level of medical and health services,and give full play to the role of financial medical and health expenditure in Yunnan Province.Based on public goods theory and government performance evaluation theory,this article defines the concepts of fiscal medical and health expenditure and fiscal expenditure performance,and initially constructs a financial medical and health expenditure performance evaluation system in Yunnan Province by reading the literature.2.Government staff consulted and selected indicators,and finally determined the performance evaluation indicator system for financial and health expenditures in Yunnan Province,with inputs,processes,outputs,and benefits as the first-level indicators,government health inputs,access to health services,The level of health services,utilization of health services and the impact of health levels are used as secondary indicators.Medical expenditures,ratio of medical expenditures to fiscal expenditures,number of medical institutions,number of medical beds,number of health technicians,and maternal mortality rate are selected.,Infant mortality,the incidence of statutory Class A and B infectious diseases,the utilization rate of hospital beds,and the average length of hospitalization of discharged patients were used as three-level indicators.Next,take the medical and health expenditure,the ratio of medical and health expenditure to fiscal expenditure,the number of medical and health institutions,the number of medical and health beds,and the number of health technicians as "input" indicators.Maternal mortality,infant mortality,and legal A andB The incidence of infectious diseases,the utilization rate of hospital beds,and the average length of stay of discharged patients were used as "output" indicators.DEA was used to study the performance level of medical and health expenditure in Yunnan Province from 2014 to 2018.The empirical results show that the comprehensive technical efficiency has not reached DEA in the past three years.Effective,that is,the performance of Yunnan's fiscal medical and health expenditure is insufficient and needs to be further improved.On this basis,the cause of the problem is deeply explored.There are problems in the unclear division of fiscal authority and expenditure responsibility in the medical and health field of Yunnan Province,insufficient investment in financial and medical health,insufficient medical and health personnel,and the need to improve the use of medical and health technology and resources.In this regard,it is proposed to clarify the financial authority and expenditure responsibility of the medical and health fields in the provinces and municipalities,increase the investment of medical and health funds,strengthen the construction of medical personnel,improve the efficiency of medical and health technology and resource use,promote the sustainable development of medical and health resources,and improve Recommendations for expenditure monitoring systems.