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Analysis on the operating efficiency of the basic medical insurance fund for urban and rural residents of Xinjiang Corp |
MA Shaowei1 ZHAO Jiuyang2,3 XIE Huiling1 |
1.School of Public Health, Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China;
2.School of Economics and Management, University of Chinese Academy of Sciences,Beijing 100000, China;
3.Medical Security Bureau of Xinjiang Production and Construction Corps, Xinjiang Uygur Autonomous Region, Urumqi 830000, China |
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Abstract Objective To analyze the operational efficiency of the XPCC’s urban and rural residents’ medical insurance fund from 2010 to 2018, and make suggestions for improving the operating efficiency of the XPCC’s urban and rural residents’ medical insurance fund. Methods Data envelopment analysis model was used to analyze the income and expenditure data of the resident medical insurance fund of the 14 divisions and directly affiliated units of the Corps, the number of insured persons, the utilization rate of the fund, the amount of compensation per capita and other indicators. The changes in corps residents’ medical insurance was analyzed from three indicators: comprehensive efficiency, scale efficiency, and pure technical efficiency. Results The growth rate of fund expenditure was higher than the growth rate of financing, and the utilization efficiency of medical insurance funds had been improved year by year; the operational efficiency of medical insurance funds was only four years in a comprehensive effective state; the trend of pure technical efficiency scores was stable, and the average pure technical effective divisions accounted for more than 70% in eight years, comprehensive effective divisions accounted for 58.33%. Conclusion The change of medical insurance policy will lead to the change of the overall efficiency of the fund. The change of medical insurance policy has a small impact on pure technical efficiency, but has a greater impact on scale efficiency, and the allocation of medical insurance resources does not reach the optimal ratio. It is recommended to rationally allocate medical insurance resources, improve the construction of medical insurance system, and formulate appropriate policy goals.
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