我國(guó)專業(yè)健康保險(xiǎn)公司經(jīng)營(yíng)效率影響因素的實(shí)證研究
本文選題:專業(yè)健康保險(xiǎn)公司 + 經(jīng)營(yíng)效率; 參考:《蘭州大學(xué)》2013年碩士論文
【摘要】:商業(yè)健康保險(xiǎn)對(duì)基本醫(yī)療保險(xiǎn)起到補(bǔ)充作用,是醫(yī)療保障體系中不可或缺的一部分。對(duì)商業(yè)健康保險(xiǎn)的專業(yè)化經(jīng)營(yíng)不僅是醫(yī)療保險(xiǎn)其特殊性的要求,同時(shí)也是國(guó)際上健康保險(xiǎn)發(fā)展的主流趨勢(shì)。自2005年以來,我國(guó)相繼成立了人保健康、平安健康、昆侖健康及和諧健康四家專業(yè)健康保險(xiǎn)公司,作為商業(yè)健康保險(xiǎn)的主要經(jīng)營(yíng)載體及未來發(fā)展趨勢(shì),我國(guó)專業(yè)健康保險(xiǎn)公司一路走來,其經(jīng)營(yíng)過程中既有問題也不乏成就,它們的經(jīng)營(yíng)效率究竟如何,又是哪些因素會(huì)對(duì)其經(jīng)營(yíng)效率產(chǎn)生影響,本文的目的就在于探討我國(guó)專業(yè)健康保險(xiǎn)公司經(jīng)營(yíng)效率的情況及其影響因素,并對(duì)其經(jīng)營(yíng)效率的提高提出具有一定借鑒意義的對(duì)策和建議。 文章共分為七個(gè)部分。第一章導(dǎo)論闡述了文章的研究背景與意義、研究綜述、研究思路和研究方法;第二章對(duì)企業(yè)經(jīng)營(yíng)效率理論及商業(yè)健康保險(xiǎn)理論進(jìn)行了簡(jiǎn)要的概述;第三章從多個(gè)角度描述了我國(guó)專業(yè)健康保險(xiǎn)公司的發(fā)展概況;第四章測(cè)度了四家專業(yè)健康保險(xiǎn)公司的綜合效率、技術(shù)效率及規(guī)模效率,并得出我國(guó)專業(yè)健康保險(xiǎn)公司整體經(jīng)營(yíng)效率處于平穩(wěn)上升趨勢(shì)的結(jié)論;第五章從行業(yè)環(huán)境、保險(xiǎn)公司經(jīng)營(yíng)管理及需求的角度定性分析了可能影響專業(yè)健康保險(xiǎn)公司經(jīng)營(yíng)效率的因素;第六章運(yùn)用灰色關(guān)聯(lián)的分析方法對(duì)專業(yè)健康保險(xiǎn)公司經(jīng)營(yíng)效率的影響因素進(jìn)行了實(shí)證分析,結(jié)果顯示:保險(xiǎn)密度、賠付金額、盈利能力、資金運(yùn)用水平及主要疾病死亡率是影響我國(guó)專業(yè)健康保險(xiǎn)公司經(jīng)營(yíng)效率的主要因素;第七章依據(jù)實(shí)證結(jié)論為專業(yè)健康保險(xiǎn)公司提出了提高其經(jīng)營(yíng)效率的對(duì)策建議。
[Abstract]:Commercial health insurance plays a supplementary role in basic medical insurance and is an indispensable part of medical insurance system. The specialized management of commercial health insurance is not only the special requirement of medical insurance, but also the mainstream trend of the development of international health insurance. Since 2005, China has set up four professional health insurance companies, namely, people's health insurance, safe health, Kunlun health and harmonious health, as the main business carrier and future development trend of commercial health insurance. Our country specialized health insurance company walks along the way, its management process not only has the question but also has the achievement, their management efficiency exactly how, and what is the factor will have the influence to its management efficiency, The purpose of this paper is to discuss the operational efficiency of professional health insurance companies in China and its influencing factors, and to put forward some countermeasures and suggestions for the improvement of their operating efficiency. The article is divided into seven parts. The first chapter introduces the research background and significance of the article, research review, research ideas and research methods, the second chapter of the business efficiency theory and business health insurance theory are briefly summarized. The third chapter describes the development of professional health insurance companies in China from several angles, the fourth chapter measures the comprehensive efficiency, technical efficiency and scale efficiency of four professional health insurance companies. And draw the conclusion that the overall operating efficiency of professional health insurance companies in China is in a steady upward trend. Chapter five from the industry environment, From the perspective of management and demand of insurance companies, this paper qualitatively analyzes the factors that may affect the operating efficiency of professional health insurance companies. The sixth chapter uses the grey correlation analysis method to carry on the empirical analysis to the professional health insurance company management efficiency influence factor, the result shows: the insurance density, the indemnity amount, the profit ability, The level of fund utilization and the death rate of major diseases are the main factors that affect the operating efficiency of professional health insurance companies in China. Chapter 7 puts forward countermeasures and suggestions to improve the operating efficiency of professional health insurance companies based on empirical conclusions.
【學(xué)位授予單位】:蘭州大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2013
【分類號(hào)】:F842.3
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