药交所试点背景下人均医疗费用的影响因素研究  

DETERMINANTS OF THE MEDICAL EXPENDITURES PER CAPITA:STUDY ON THE CHONGQING MEDICAL EXCHANGE

作　　者：王文娟[1] 曹向阳[2] WANG Wen-juan CAO Xiang-yang(Central University of Finance and Economic)

机构地区：[1]中央财经大学政府管理学院,邮政编码100081 [2]中央财经大学统计与数学学院

出　　处：《经济理论与经济管理》2016年第11期78-87,共10页Economic Theory and Business Management

基　　金：国家自然科学基金面上项目(71473284)的资助

摘　　要：本文采用固定效应模型建立人均医疗费用影响因素的一般模型,并通过引入药交所虚拟变量和考察医生收入的中介效应进一步阐释该模型。研究结果表明,诱导需求与医院规模对人均医疗费用均有显著影响;药交所政策降低了人均医疗费用,但医生收入中介效应的存在使得部分医疗资源被浪费。本文提出了控制人均医疗费用的政策建议:增加医院与卫生院的数量;合理调整医务工作者内部结构;倡导医生自由执业并提供保障;合理增加医生收入。This research utilizes the fixed effect penditures. The dummy variables are introduced to model to analyze the determinants of the medical ex- represent the Medical Exchange, and the income of doctors is introduced as mediator variables such that the effect of doctors would be revealed. This research demonstrates that the Chongqing Medical Exchange reduces the medical expenditures per capita indeed. Nonetheless, this policy may backfire because of the mediating effect of the revenue of doc- tors. Based on these studies, this paper puts forward policy recommendations to control the medical ex- penditures per capita： increasing the number of hospital, adjusting the internal structure of the medical workers, and advocating and ensuring Physician practice, and increasing doctors＇ income reasonably.

关 键 词：重庆市药品交易所 人均医疗费用 固定效应模型 中介变量 

分 类 号：R1[医药卫生—公共卫生与预防医学]