基于DPSIR模型的职工医保基金可持续发展能力评价研究OACHSSCD
Research on the evaluation of the sustainable development capacity of the employee medical insurance fund based on the DPSIR model
为科学评价职工医保基金的可持续发展能力,研究基于驱动力—压力—状态—影响—响应(DPSIR)模型构建评价体系,采用熵权综合指数法确定各指标权重,计算综合评价值.结果显示,2022年东、中、西部地区职工医保基金的可持续发展能力总体存在差异,在驱动力和状态维度,东部地区和中、西部地区差异明显,在压力、影响和响应维度上差异较小;2013-2022年,职工医保基金的可持续发展能力总体呈上升趋势,综合评价值稳步提升,其中驱动力、状态和影响指标整体呈增长态势,而压力和响应指标呈下降趋势.结果表明,需进一步完善筹资渠道,加强医保支出管理,优化医疗资源配置,并增强政策创新能力,以实现职工医保基金的可持续发展.
To scientifically evaluate the sustainable development capacity of the employee medical insurance fund,this paper constructs an evaluation system based on the DPSIR model and adopts the entropy weight comprehensive index method to determine the weights of each indicator,and calculates the comprehensive evaluation value.The results show that there are overall regional disparities in the sustainable development capacity of the employee medical insurance fund across eastern,central and western regions in 2022.The differences between the eastern,central,and western regions are evident in the driving force and state dimensions,while the differences are relatively small in the pressure,impact and response dimensions.From 2013 to 2022,the sustainable development capacity of the employee medical insurance fund generally followed an overall upward trend,with a steady increase in the comprehensive evaluation value.Specifically,the driving force,state and influence indicators showed an overall increasing trend,while the pressure and response indicators presented a decreasing trend.These findings suggest further improving fundraising channels,strengthening the management of medical insurance expenses,optimizing the allocation of healthcare resources,and enhancing the policy innovation capacity to achieve sustainable development of the employee medical insurance fund.
张梦雨;郭孟子;赵虎;雷易简;汤质如
安徽医科大学卫生管理学院,安徽 合肥 230032安徽医科大学卫生管理学院,安徽 合肥 230032安徽医科大学卫生管理学院,安徽 合肥 230032安徽医科大学卫生管理学院,安徽 合肥 230032安徽医科大学卫生管理学院,安徽 合肥 230032
管理科学
职工医保基金可持续发展能力DPSIR模型熵权综合指数评价法
medical insurance fund for employeessustainable development capacityDPSIR modelentropy weight comprehensive index evaluation method
《南京医科大学学报(社会科学版)》 2026 (1)
51-56,6
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