住院医疗费用的影响因素研究：基于医院样本的实证分析  

Research on Determinations of the Hospitalization Expenses:Empirical Analysis Based on a Survey of Hospitals

作　　者：杜修立[1,2] 俞乔[1] 

机构地区：[1]清华大学公共管理学院,北京100084 [2]南京财经大学金融学院,南京100084

出　　处：《中国卫生经济》2011年第2期59-61,共3页Chinese Health Economics

基　　金：国家自然科学基金(70773066);中国博士后科学基金(20080440407);中国博士后科学基金特别资助(200902111)

摘　　要：目的:研究我国住院医疗费用的决定因素。方法:收集2004年到2006年我国东部和西部典型地区16个县(市、区)18家医院数据,进一步匹配医院的市场条件,利用固定效应回归模型进行实证分析。结果:政府财政补贴有助于降低患者支付的住院医疗费用,而医生的奖金激励是推高医疗费用的一个显著因素;住院医疗费用受到市场供求因素的显著影响。结论:"补供方"和发展公立医院应该是医疗改革的一个探索方向;随着人们医疗需求的提高,医疗市场的整体供给不足仍然是看病贵的一个重要因素。Objective：To study the determinations of hospitalization expenses in China.Methods：Empirical analysis,based on a survey on 18 hospitals in 16 counties of typical areas in east and west China,which includes finance data and market conditions from 2004 to 2006.Fixed effect regression model is applied.Results：The present public finance mechanism is conducive to the fall of medical cost.Second,bonus incentives of doctors can lead to a high medical cost.And the demand and supply of market also play an important role in the determinations of hospitalization expenses.Conclusion：Public subsidies policy is one of important choices of the health reform in China.With the improvement of people＇s increasing medical demand,the lack of medical service supply is an important factor of too much cost.

关 键 词：医疗费用 财政补贴 医疗改革 

分 类 号：R197.3[医药卫生—卫生事业管理]