發(fā)布時間：2018-06-02 02:34

  本文選題：新農(nóng)村合作醫(yī)療 + 超效率DEA��； 參考：《仲愷農(nóng)業(yè)工程學院》2013年碩士論文

【摘要】：新型農(nóng)村合作醫(yī)療制度作為一項重要的醫(yī)療改革制度在我國農(nóng)村地域已經(jīng)執(zhí)行十年之久,對提高我國農(nóng)村社會保障水平,促進農(nóng)村社會民生建設起到關鍵作用。通過研究新型農(nóng)村合作醫(yī)療,可以進一步了解我國新型農(nóng)村合作醫(yī)療制度實施的社會效益和經(jīng)濟效益及其發(fā)展?jié)摿?從而為合理配置農(nóng)村醫(yī)療資源、優(yōu)化農(nóng)村合作醫(yī)療制度實施方式提供科學決策依據(jù)。 本研究論文以廣東省新農(nóng)村合作醫(yī)療為研究對象,采用數(shù)據(jù)包絡分析法(DEA)為主要研究工具,對廣東省19個城市的新型農(nóng)合的技術效率等四種不同效率進行定量分析,并提出新型農(nóng)村合作醫(yī)療資源合理配置的優(yōu)化措施。 研究過程結合廣東省新農(nóng)村合作醫(yī)療的實際情況設置了中央的財政補助、地方的財政補助、個體的繳費3個投入變量和門診補償?shù)目側藬?shù)、門診補償?shù)目偨痤~、住院補償總的人數(shù)、住院補償?shù)目偨痤~、住院正常分娩補償?shù)目側藬?shù)、住院正常分娩補償?shù)目偨痤~6個產(chǎn)出變量,利用數(shù)據(jù)包絡分析法中的CCR模型、BCC模型和超效率模型,對廣東省的19個地級市進行效率(純技術效率、規(guī)模效率、技術效率、超效率)和潛力分析。研究結果表明：(1)根據(jù)超效率值19個城市可以劃分為4種不同的類型,其中效率超高城市和效率超低城市的相對效率差異極大,但這兩類城市所占總體比例低；(2)純技術無效和規(guī)模無效是大部分城市技術無效的原因；(3)技術無效的城市在投入和／或產(chǎn)出方面都存在不同程度的優(yōu)化和調(diào)整空間,調(diào)整值和效率值關系密切。最后從3個方面提出了相關的意見和建議。
[Abstract]:As an important medical reform system, the new rural cooperative medical system has been implemented in rural areas for ten years, which plays a key role in improving the level of rural social security and promoting the construction of rural society and people's livelihood. Through the study of the new rural cooperative medical system, we can further understand the social and economic benefits of the implementation of the new rural cooperative medical care system and its development potential, so as to rationally allocate rural medical resources. Optimize the rural cooperative medical system to provide scientific decision-making basis. Taking the New Rural Cooperative Medical system (NCMS) of Guangdong Province as the research object and using the data Envelopment Analysis method (DEAA) as the main research tool, this paper quantitatively analyzes the technical efficiency of the new rural cooperative medical system in 19 cities in Guangdong Province. And put forward the new rural cooperative medical resources rational allocation of optimization measures. According to the actual situation of the new rural cooperative medical system in Guangdong Province, the research process has set up the central financial subsidy, the local financial subsidy, the three input variables of individual contribution and the total number of outpatient service compensation, and the total amount of outpatient service compensation. The total number of compensation in hospital, the total amount of compensation in hospital, the total number of compensation in normal delivery in hospital, and the total amount of compensation in normal delivery in hospital were 6 output variables. The CCR model and super efficiency model were used in data envelopment analysis. This paper analyzes the efficiency (pure technical efficiency, scale efficiency, technical efficiency, super efficiency) and potential of 19 prefectural cities in Guangdong province. The results show that 19 cities can be divided into 4 different types according to the super-efficiency value, in which the relative efficiency of ultra-high efficiency cities and ultra-low efficiency cities vary greatly. However, these two types of cities account for a low proportion of the total. (2) ineffective pure technology and ineffective scale are the reasons for the invalidity of technology in most cities. (3) cities with ineffective technology have different degrees of optimization and adjustment in terms of input and / or output. The adjustment value and the efficiency value are closely related. Finally, some suggestions and suggestions are put forward from three aspects.
【學位授予單位】：仲愷農(nóng)業(yè)工程學院
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：F842.684;F323.89;R197.1

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本文編號：1966948