摘要
目的:分析并挖掘医疗保障基金监管人才配置效率及存在问题,为优化医保基金监管人才队伍建设提供借鉴。方法:搜集山东大学14县域医保基金监管人才队伍数据,设计5个强度系数分析人才配置的公平度,构建DEA—BCC模型分析人才配置效率的县域差异,挖掘并分析监管人才队伍建设中存在的问题。结果:随着医保基金监管部门职能的提升,存在专业人员配置不足、专业基础薄弱、工作强度较大、配置公平度不高、配置效率有待提高等问题。建议:从完善监管制度、优化人员配置、提升监管效率、拓展监管渠道四个方面进行优化提升。
Objective: The paper is to analyze the efficiency and existing problems of personnel allocation in medical insurance fund supervision, and provide suggestions for optimizing the construction of medical insurance fund supervision personnel. Methods: The study collects the data of 14 county-level medical insurance fund supervision teams within Ji’nan City, designs 5 intensity coefficients to analyze the fairness of talent allocation,constructs a DEA-BCC model to analyze county differences in talent allocation efficiency, and summarize the existing problems in the construction of supervision talent teams. Results: Along with the improvement of the functions of the medical insurance fund supervision department, there are problems such as insufficient professional allocation, weak professional foundation, high work intensity, uneven allocation fairness, and allocation efficiency to be improved. Conclusion: Optimization and improvement strategies are proposed from four aspects of improving the supervision system, optimizing personnel allocation, improving supervision efficiency, and expanding supervision channels.
出处
《中国医疗保险》
2022年第6期36-43,共8页
China Health Insurance
基金
山东省教育教学研究重点项目:《“双战略”引领下山东省高等医学院校与医养健康产业产教融合协同育人机制研究》(2001JXZ006)
教育部产学合作协同育人项目:《大数据+医保基金监管教学虚拟仿真一流课程建设项目》(202102484005)
山东大学医疗保障局委托重点项目:《山东大学医保大数据基金监管创新项目》(202101)。
关键词
医保基金监管人才建设
配置公平度
配置效率
精细化管理
优化策略
talent construction of fund supervision
allocation fairness
allocation efficiency
refinement management
optimization strategy
