昆明试点医师多点执业实施效果的实证分析  

Analysis of the outcomes of multi-spot medical practice trial in Kunming

作　　者：谭婧 刘国恩[2] 伍红艳[2] 赵绍阳[2] 夏君[2] 

机构地区：[1]中医药大学公共卫生学院,成都611137 [2]北京大学光华管理学院中国卫生经济研究中心

出　　处：《中华医院管理杂志》2012年第4期241-245,共5页Chinese Journal of Hospital Administration

基　　金：美国中华医学基金会资助：《不同医疗模式实验试点的经济分析项目》

摘　　要：目的准确了解医师多点执业政策在我国的试点情况，评价多点执业实施效果。方法收集昆明市所有医疗机构2008年、2009年部分运营数据，采用固定效应模型分析多点执业实施效果。结果在控制医院规模、经济类型等相关因素下，多点执业医师第二执业机构总诊疗人次数比实施多点执业前增加了14％，机构的医疗收入增加了29％。此外，多点执业政策对一、二级医疗机构总诊疗人次和医疗收入增加的影响更为显著。结论昆明市多点执业政策的实施效果明显，增加了卫生服务供给量，并提高了医疗收入，尤其是对一、二级医疗机构。这种影响产生的原因可能是由于多点执业政策使得高技术水平的医师下沉到基层，增加了基层医疗机构对患者的吸引力。Objective To accurately understand multi-spot medical practice in China and evaluate its effect. Methods Operation data of 2008 and 2009 were gathered from all medical institutions in Kunming to analyze the effect of the practice trial using the fixed effect model. Results Under control of such factors as the scale and type of the hospitals, clinic visits of the second certified hospital benefited by the practice increased by 14%than before, whereas the medical revenue of the institution increased by 29~. The effect proves more significant in terms of total clinic visits and medical revenues at level-1 and level-2 medical institutions. Conclusion Multi-spot medical practice in Kunming proves successful as it increased medical service supply and medical revenue, especially for level-1 and level-2 medical institutions. This effect possibly results from releasing high-level physicians down to lower-level institutions, helping these institutions to attract patients.

关 键 词：多点执业 实施效果 评价 

分 类 号：R197.1[医药卫生—卫生事业管理]