期刊文献+

补偿机制改革对县医院医疗服务利用情况的影响分析 预览

Analysis of the Impact of Compensation Mechanism Reform on Medical Service Utilization of County-level Public Hospital
在线阅读 下载PDF
收藏 分享 导出
摘要 目的了解补偿机制改革对县医院医疗服务利用情况的影响。方法以山东省某县级公立医院门诊和住院患者的微观数据为基础,利用多元回归模型以及间断时间序列的分段回归模型,分析补偿机制改革与诊疗费用及服务量之间的关系,评价改革对医疗服务利用情况的影响。结果患者改革后门诊和住院的服务量下降,变化趋势也明显下降。门诊费用提高,住院费用下降,但变化趋势均明显下降。结论补偿机制改革对医疗服务利用的影响积极与消极并存。如何激励医院提供服务、激励患者合理利用服务是下一步改革需要解决的问题之一。 Objective To evaluate the impact of compensation mechanism reform on medical service utilization of county-level public hospitals. Methods Based on the outpatient and inpatient micro data as patients'medical information from a county-level hospital in Shandong province,multiple linear regression and interrupted time series segmented regression were employed to analyze the relationship between the reform and medical costs,as well as service volu- me,and to evaluate the impact of the reform on medical service utilization. Results After the compensation mechanism reform,both outpatient and inpatient medical service volumes decreased,and their changing trends all declined obviously.Inpatient expenses decreased but outpatient expenses increased,while their changing trends all declined obviously. Conclusion Both positive and negative effects of the reform on medical service utilization are shown in this study.How to encourage hospitals to provide services and to inspire patients to utilize services rationally is one of the problems that should be solved in the next stage of reform.
作者 常宝松 郭娜 陈丽 吴琼 朱大伟 CHANG Baosong;GUO Na;ZHU Dawei(Institute of Materia Medica,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing, 100050,China)
出处 《中国社会医学杂志》 2019年第3期299-301,共3页 Chinese Journal of Social Medicine
基金 中国博士后科学基金会第64批科学基金项目(2018M641126).
关键词 补偿机制改革 服务利用 多元回归 间断时间序列 Compensation mechanism reform Medical utilization Multiple regression Interrupted time series
作者简介 通信作者:朱大伟,Email:zhu_dawei@163.com.
  • 相关文献

参考文献10

二级参考文献64

共引文献65

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈
新型冠状病毒肺炎防控与诊疗专栏