区域协同医疗对中国居民就医选择的影响研究——以四川汶川县为例  

Studying on the influence of regional medical cooperation on residents' selection of healthcare sampled with Wenchuan County

作　　者：周钦[1] 刘国恩[1] 

机构地区：[1]北京大学国家发展研究院,北京100871

出　　处：《中国卫生事业管理》2015年第6期404-407,共4页Chinese Health Service Management

基　　金：中国博士后科学基金:"均等化"制度设计下的医保公平性问题研究(编号:2014M560830);国务院城镇居民基本医疗保险试点评估入户调查支持项目;美国纽约中华医学基金会(China Medical Board)资助项目

摘　　要：目的:估计区域协同医疗对居民就医选择的影响,为发展医疗信息化建设提供数据支持。方法:构建双重差分模型(Difference in Difference),并采用Probit模型进行估计。结果:区域协同医疗使轻病患者更倾向于首选乡镇卫生院就诊,较重病患者更倾向于首选县人民医院。结论:区域协同医疗信息系统通过优化医疗资源配置实现了"轻病去乡镇卫生院、较重病留在县级医院"的分级诊疗作用。Objective To study the influence of regional medical cooperation on residents＇ selection of healthcare,and provide data support for the development of medical information construction. Methods Difference in Difference （DID） model was constructed. And data was studied with probit model. Results Patients with common diseases preferred to township health centers firstly. But patients with servere diseases preferred to county hospitals. Conclusion Regional medical cooperation can achieve the goal to optimize medical resources allocation and classify medical services.

关 键 词：区域协同医疗 就医选择 双重差分模型 

分 类 号：R197.1[医药卫生—卫生事业管理]