Total Factor Productivity and Regional Characteristics of Medical Insurance Fund in China: Based on DEA and Moran Index

Abstract

Abstract: As an important part of social insurance, medical insurance belongs to a typical public policy in China. Policy evaluation is an important issue of public policy management. After more than 20 years of reform and development, the goal of universal medical insurance has been achieved, and the system of medical insurance is becoming mature in China. Stable operation of Medical Insurance Fund in China is the premise and foundation for system sustainable development. From aspects of input and output of medical insurance fund, this paper screens the multiple indicators of fund total factor productivity, and constructs a total factor productivity evaluation index system of the medical insurance fund. Then the evaluation is proposed based on DEA model using related data from 31 provinces or cities in China. Further, the spatial correlation of total factor productivity of medical insurance fund is explored. The results show that in recent years the overall total factor productivity of medical insurance fund in China is constantly improved, but significant differences exist between different areas. Especially, there was significant spatial aggregation effect in 2012 and 2019.

Key words: medical insurance fund, total factor productivity, DEA, moran index

Zhao Jiuyang, Guo Kun. Total Factor Productivity and Regional Characteristics of Medical Insurance Fund in China: Based on DEA and Moran Index[J]. Management Review, 2025, 37(2): 72-81.

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