因子分析法在评价城镇职工基本医保治理成效中的应用性研究——基于成都市的数据分析
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摘要
目的 :依据2010-2016年成都市基本医疗保险住院业务相关数据,建立数据分析指标体系,在全国医保领域内,首次提出运用"医保治理成效指数(HIG指数)"来定量评价医保治理成效情况。方法 :采用因子分析法构建综合评价体系,对21个区(市)县的城镇职工医疗保险运行情况进行综合评分,最后汇总得到成都市历年治理成效指数(HIG指数)。指数如为正值,治理成效越好;同为正值的,数值越高,治理成效越好。结果 :自2010年来,成都市医保治理成效总体呈上升趋势,治理指数从2010年的-3.075增加至2016年的2.499,其中近三年HIG指数为七年来最高。结论 :成都多措并举着力推进医保治理体系和治理能力现代化,成效显著。
Objective: In this paper we used basic medical insurance data of Chengdu in 2010-2016 to set up index system. In the national medical insurance system, it was the first time to put forward using the health insurance governance effect index(HIG index) to quantitatively evaluate the effectiveness of the governance of medical insurance. Method: Used factor analysis to get the comprehensive score of twenty-one districts and counties urban employee basic medical insurance's operation and summarized to get the health insurance governance effect index of Chengdu(HIG index). If the index is positive, the governance results is good; in the same positive value, the higher the value, the better the governance. Result: Since 2010, the effectiveness of the governance of medical insurance was trending upward, and the HIG index get the highest score in last three years. Conclusion: In recent years, Chengdu took many methods to modernize the medical insurance system and modernization of governance capacity.
Objective: In this paper we used basic medical insurance data of Chengdu in 2010-2016 to set up index system. In the national medical insurance system, it was the first time to put forward using the health insurance governance effect index(HIG index) to quantitatively evaluate the effectiveness of the governance of medical insurance. Method: Used factor analysis to get the comprehensive score of twenty-one districts and counties urban employee basic medical insurance's operation and summarized to get the health insurance governance effect index of Chengdu(HIG index). If the index is positive, the governance results is good; in the same positive value, the higher the value, the better the governance. Result: Since 2010, the effectiveness of the governance of medical insurance was trending upward, and the HIG index get the highest score in last three years. Conclusion: In recent years, Chengdu took many methods to modernize the medical insurance system and modernization of governance capacity.
引文
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[2]曾晶.城镇居民基本医疗保险制度问题研究——以南昌市东湖区为例[D].南昌:江西财经大学,2012.
[3]张文杰.城镇职工基本医疗保险门诊医疗保险政策运行效果分析——以南京的门诊保险政策实践为例[D].南京:东南大学,2016.
[4]王文博,陈秀芝.多指标综合评价中主成分分析和因子分析方法的比较[J].统计理论与方法,2006,21(5):19-22.
[5]甘甜.湖北省“科技十条“政策效果研究[D].武汉:湖北工业大学,2016.
[6]吴先慧.基于主成分分析和DEA方法的我国区域创新效率评价[D].哈尔滨:哈尔滨工业大学,2011.
[7]王任远.江苏省科技政策效果评估研究——基于政策绩效的视角[D].南京:南京工业大学,2014.
[8]张君伟,邵蔚.模糊综合评价法在水库移民后评价中的应用[J].水利科技与经济,2006,12(1):5-8.
[9]陈琳.上海市新能源产业政策评价研究[D].上海:上海工程技术大学,2016.
[10]赵颖.数据包络分析及TOPSIS等方法在医院临床科室效率诊断性评价中的比较研究[D].沈阳:中国医科大学,2007.
[11]王菲.资源型城市可持续发展指标体系构建及综合评价研究[D].大庆:大庆石油学院,2006.