基层医疗机构、竞争和医疗费用

doi:10.12088/PKU.jjkx.2024.02.09

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	基层医疗机构、竞争和医疗费用
其他题名	Effects of Competition among Primary Medical Institutions on Medical Expenses
	石婷1 ; 陈晨2 ; 臧文斌 3; 王一如3
	2024-04-20
发表期刊	经济科学
期号	02 页码:178-198
摘要	发展基层医疗机构对完善医疗卫生体系起着至关重要的作用，但是国内现有文献对其市场竞争方面的实证研究还较为缺乏。本文通过计算中国某副省级城市2018—2020年住院患者的全样本数据得到相对外生的竞争测量，以综合分析市场竞争对基层医疗机构住院患者医疗费用的影响及影响渠道。研究发现，基层医疗机构的竞争会导致住院患者总费用的上涨。该结果与支持“医疗设备竞赛”的研究发现一致。分项费用方面，竞争会导致药品费、治疗费和服务费上涨，但诊疗费下降。从影响渠道来看，竞争会直接导致住院天数、床位数及人员设备投入的显著增加。
其他摘要	Primary medical institutions play a very important role in providing healthcare service in China.Compared with hospitals,the medical services provided by primary medical institutions are relatively common and simple,and the patients served are quite stable,thus it provides an appropriate market setting to analyze the effects of competition of medical institutions.However,there are very few studies in China examining this issue.This paper analyzes the effect of market competition on medical expenses of inpatients in primary medical institutions by utilizing a de-tailed micro-level administrative data set of inpatients and medical institutions from a sub-provin-cial city in China between 2018 and 2020.The results show that market competition will lead to the rise of medical expenses of inpatients in the current healthcare system.This result is consist-ent with the research findings that support the"medical arms race".In terms of itemized fees,competition will lead to an increase in drug,treatment fees and service fees,but a decrease in diagnosis.This paper also analyzes the potential impact mechanism of market competition on medical expenses,and the results shows that market competition is significantly and positively correlated with hospital length of stay,number of beds,number of medical personnel,and equipment investment.
关键词	基层医疗机构竞争医疗费用
DOI	10.12088/PKU.jjkx.2024.02.09
URL	查看原文
收录类别	北大核心 ; 中国科技核心期刊 ; CSSCI ; AMI
ISSN	1002-5839
语种	中文
原始文献类型	学术期刊
中图分类号	R197.6
CN号	11-1564/F
文献类型	期刊论文
条目标识符	http://ir.lzufe.edu.cn/handle/39EH0E1M/36123
专题	金融学院会计学院
通讯作者	王一如
作者单位	1.兰州财经大学金融学院; 2.山西财经大学财政与公共经济学院; 3.西南财经大学公共管理学院
第一作者单位	金融学院
推荐引用方式 GB/T 7714	石婷,陈晨,臧文斌,等. 基层医疗机构、竞争和医疗费用[J]. 经济科学,2024(02):178-198.
APA	石婷,陈晨,臧文斌,&王一如.(2024).基层医疗机构、竞争和医疗费用.经济科学(02),178-198.
MLA	石婷,et al."基层医疗机构、竞争和医疗费用".经济科学 .02(2024):178-198.