摘要
目的:探明不同供给模式的定点照护服务机构运行效率及影响因素,为完善我国长期照护服务体系提供理论依据。方法:使用青岛市调查数据,纳入定点照护服务机构32家。采取三阶段DEA方法测量不同供给模式的定点照护服务机构运行效率,并运用Tobit模型进行影响因素分析。结果:32家定点照护服务机构运行效率平均值为0.647,其中,PPP供给模式机构、政府包办供给模式机构分别为0.651和0.628。供给模式、地理位置、长护险费用结算是否及时、是否医养融合均对定点照护服务机构运行效率产生显著正向影响(P<0.05)。结论:定点照护服务机构尚处于起步阶段,PPP供给模式相较于政府包办供给模式效率值更高,应坚持长期照护服务PPP供给模式改革方向,用好政府宏观调控工具包,加大医养结合政策推动力度,进而提升定点照护服务机构运行效率。
Objective:The paper analyzes the operation efficiency and influencing factors of designated care service institutions with different supply modes,so as to provide theoretical evidence for improving the long-term care service system.Methods:Using the survey data of Qingdao City,32 designated care service institutions were included.The three-stage DEA method was used to measure the operation efficiency of designated care service institutions with different supply modes,and the influencing factors were analyzed by Tobit model.Results:The average value of operation efficiency of 32 designated care service institutions is 0.647,of which PPP supply mode institutions and government supply mode institutions are 0.651 and 0.628 respectively.Supply mode,geographical location,timely settlement of long-term care insurance costs and combination of medical care and nursing has a significant positive impact on the operation efficiency of designated care service institutions.Conclusion:The designated care service institutions are still in the initial stage,and the PPP supply mode is more efficient than the government supply mode.It is necessary to adhere to the reform direction of the PPP supply mode of long-term care services,make advantage of the government's macro-control toolkit,and strengthen the promotion of the combination of medical care and nursing policies to improve the operation efficiency of designated care service institutions.
出处
《中国医疗保险》
2023年第11期66-72,共7页
China Health Insurance
基金
国家社会科学基金面上项目“长期照护保险制度试点模式效果评估与路径优化研究”(19BGL199)
教育部人文社会科学青年基金项目“多层次养老服务体系对非正式照料者的支持效果及提升策略研究”(22YJCZH103)
山东省社会科学规划研究项目“基于时间银行的山东省代际互助养老服务体系构建及运行机制研究”(21CSHJ13)
山东省社会科学普及应用研究项目“老年人积极老龄化理念培育研究”(2022-SKZC-28)。
关键词
长期照护服务
运行效率
定点照护服务机构
PPP
影响因素
long-term care services
operation efficiency
designated care service institution
PPP
influencing factor
