马丽

摘 要 目的：构建城镇居民医保制度发展水平指标体系，以江苏省为例，评价13个地级市居民医保制度发展水平。方法：从制度的保障水平和可持续性两个角度选取12个指标构建居民医保制度发展水平综合评价指标体系，运用熵权TOPSIS法和聚类分析法进行评价分析。结果：按地域划分，江苏省居民医保制度发展水平较为均衡，但各地区存在差异且发展不均衡。结论：政府应加大投入，平衡发展居民医保制度，提高参保人员医疗待遇，促进居民医保制度可持续发展。

关键词 城镇居民医保制度 指标体系 发展水平评价 熵权TOPSIS法

中图分类号：R197.1 文献标识码：C 文章编号：1006-1533（2017）03-0058-04

The comprehensive evaluation and analysis of the development level of Chinese health insurance system for urban residents： taking Jiangsu Province as an example

MA Li*

（School of International Pharmaceutical Business， China Pharmaceutical University， Nanjing 211198， China）

ABSTRACT Objective： To evaluate the development level of residents basic health insurance system by taking Jiangsu province as an example. Methods： Twelve indicators were selected from the aspects of security level and sustainability of the system to establish a comprehensive evaluation system， which were evaluated and analyzed by entropy TOPSIS and cluster analysis. Results： The development level of health insurance system for urban residents in Jiangsu province was rather balanced， but differed in different regions or even unbalanced. Conclusion： The government should constantly develop economy and increase financial investment to develop a balanced urban residents health insurance system， improve the medical treatment of the insured residents and promote its sustainable development.

KEy WORDS urban residents health insurance system； indicator system； evaluation of development level； entropy TOPSIS

城鎮居民医疗保险是基本医疗保险的一个重要组成部分，其发展水平直接影响民众的健康保障和国家的经济发展[1]。为有效监测和评价我国各地区城镇居民医保发展水平，构建合理的城镇居民医保制度发展水平指标体系十分必要。指标体系的构建，角度不同，指标的选择也不同。辛立秋等[2]按照社会保障项目类型，将评价指标划分为社会保险、社会救助与优抚、社会福利等方面。郑美雁[3]则按照指标信息可取性，从参保人数和基金管理两个方面选取养老保险参保人数覆盖率等10个指标作为评价社会养老保险的统计指标。指标体系的评价方法，目前学术界运用较多的是因子分析法[4-5]、层次分析法[6-7]及TOPSIS法[8]。本文选取较为成熟的熵权TOPSIS法和聚类分析方法对居民医保制度发展水平进行定量分析评价。……