Table 2 Model variables
Category | Variable | Definition | Measurement |
|---|---|---|---|
Input | Fund income | It is derived from the sum of funds contributed by various stakeholders and is primarily utilized to cover health insurance benefits and medical services | RMB 100 million yuan |
Number of insured individuals | It includes individuals enrolled in the basic medical insurance programs for urban or rural residents and urban employees | 10,000 persons | |
Number of health technical personnel | It comprises authorized doctors, registered nurses, pharmacists, laboratory physicians, radiologists, and other healthcare professionals | 10,000 Persons | |
Average salary of urban employees | The mean or average amount of salary earned by individuals employed in urban areas is referred to as the " average salary of urban employees “ | RMB 1 Yuan | |
Output | Fund expenditure | It is used to cover a portion of the expenses for insured individuals during a medical procedure | RMB 100 million yuan |
Hospitalization rate (%) | The proportion of hospitalized individuals among the population covered by basic medical insurance | ||
Influencing factors | Per capita hospitalization cost | Average medical expenses incurred by hospitalized patients in each pooling area | RMB 1 Yuan |
Per capita outpatient cost | Average medical expenses generated by outpatient patients in each pooling area | RMB 1 Yuan | |
Ln per capita GDP | It is referred to as the “logarithm of average per capita economic output | RMB 1 Yuan | |
Per capita fund balance | It is the net difference between the annual income and expenditure of the residents’ basic medical insurance fund, divided by the year-end population | Yuan | |
Per capita cumulative fund balance | It is the average accumulated surplus of funds per person | Yuan | |
Actual reimbursement ratio | The percentage of medical expenses that can be received by a participant under the health insurance policy during a hospital stay | % | |
Medical institution density | It represents the concentration or quantity of healthcare facilities within a specific area or population | 10,000 persons | |
Tertiary Hospital proportion | The percentage of tertiary hospitals out of the total number of public hospitals is represented by this metric | % |