地区医院集聚与医疗费用研究——基于某市11区县面板数据的实证分析

发布时间：2018-07-06 18:55

本文选题：医院集聚 + 医疗费用　；参考：《中国卫生事业管理》2017年05期

【摘要】：目的:通过对浙江省某市11区(县)医院聚集和人均门诊检查检验费及医药费的增长分析,探讨区域医院聚集规模对医疗费用的影响程度。方法:采用随机截距模型对样本地区2009年~2014年的数据进行REML回归分析,地区医院床位数每增加1张,门诊患者次均检查检验费和医药费显著上涨0.006%和0.011%。结果:地区医院聚集不仅没有产生技术外溢,提高资源聚集的技术效率,反而降低了医院技术效率,促进了医疗费用的上涨。因此,政府区域卫生规划在考虑卫生服务可及性的同时,也应考虑投入绩效,减少地区医疗资源重复建设,鼓励优质医疗资源共享,提高医疗资源使用效率。
[Abstract]:Objective: to explore the influence of the scale of regional hospital aggregation on medical expenses by analyzing the increase of hospital gathering and per capita outpatient examination and medical expenses in 11 districts (counties) of a certain city in Zhejiang province. Methods: by using random intercept model, REML regression analysis was carried out on the data from 2009 to 2014 in the sample area. With each increase in the number of hospital beds in the district, the outpatient examination fee and medical fee increased significantly by 0.006% and 0.011% respectively. Results: the regional hospital aggregation not only did not produce technology spillover, but also reduced the hospital technical efficiency and promoted the increase of medical expenses. Therefore, the government regional health planning should consider the performance of investment, reduce the repeated construction of regional medical resources, encourage the sharing of high-quality medical resources and improve the efficiency of using medical resources while considering the accessibility of health services.
【作者单位】：西安建筑科技大学管理学院;温州医科大学公共卫生与管理学院;
【基金】：中国博士后基金“丝绸之路经济带社会资本办医研究”(编号:2014M562517XB) 国家自然科学基金“我国公立医院医生薪酬水平与激励机制研究”(编号:2014110710) 温州医科大学人才引进项目“民营医院管理体制与运营机制研究”
【分类号】：R197.1

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