Research On Efficiency Of Government Health Expenditure In Sichuan Province Based On The New Medical Reform

Since the 18 th National Congress of the Communist Party of China,deepening reforms have gradually penetrated into all areas of society,especially in the field of health.Subsequently,the 19 th National Congress of the Communist Party of China in 2017 made it clear that the pace of the medical and health system reform must be accelerated,the level of health services must be improved,and let all the people live a happier life is the most important.Under the guidance of the spirit of the central policy documents,the investment of government departments in the field of health has increased year after year,resulting in a apparent improvement in the health environment.But just from the total amount of expenditure to judge the quality of health development is the presence of limitations,the government should pay more attention to the issue of whether the government’s health expenditures are efficient.As far as Sichuan Province is concerned,government’s health expenditure has grown from 35.7 billion in 2011 to 85.03 billion in 2018.In just a few years,it has more than doubled the growth rate,and the scale of expenditure has expanded significantly.However,research shows that there is still room for improvement in the efficiency of government health expenditures in various regions of the province.This article is based on the government health expenditure data of 21 regions in Sichuan Province to study its efficiency.The main efficiency analysis models used are the DEA model and the Malmquist model.The DEA model is analyzed from a static perspective,while the Malmquist model is mainly used for dynamic analysis from two dimensions of time and space.Then use the Tobit model to explore the relevant factors affecting efficiency,and finally combine the supply-side structural reforms to draw conclusions and recommendations based on the model results.Drawing lessons from the "eight-character policy" of supply-side reforms provides new ideas for improving the efficiency of government health expenditures.In terms of efficiency analysis,there are mainly the following research findings: First,From 2011 to 2018,the overall technical efficiency of government health expenditures in various regions of Sichuan Province was quite different,and the efficiency in the area to the west of Chengdu was relatively low;Second,scale efficiency and pure technical efficiency have relatively consistent effects on overall technical efficiency;third,the total factor productivity of Sichuan government health expenditures has not reached the ideal state in terms of time or space.After analyzing the influencing factors of efficiency,we have the following conclusions: First,education level will not significantly affect the efficiency of government health expenditure;second,the increase in GDP per capita,in population density,and in the rate of urbanization can improve the efficiency of health expenditures;Third,fiscal revenue decentralization and fiscal expenditure decentralization are not conducive to improving the efficiency of health expenditure.Finally,this article mainly proposes suggestions from the following perspectives: adjust the scale of expenditures moderately,improve the management level of government organizations,control the degree of fiscal decentralization,value intellectual property and talents,and introduce market mechanism,in order to provide theoretical support to formulate effective policies for the government.