公立医院执行医药分开政策的费用控制效果评估研究  

Study on the Evaluation of Cost Control Effect in Public Hospitals During the Separation of Clinic from Pharmacy Reform

作　　者：谢世堂[1,2] 曹桂 沈慧[2] XIE Shi-tang;CAO Gui;SHEN Hui(Beijing Shijitan Hospital,Capital Medical University,Beijing,100038,China)

机构地区：[1]首都医科大学附属北京世纪坛医院,北京100038 [2]中国人民大学公共管理学院,北京100872 [3]中国人民大学社会与人口学院,北京100872

出　　处：《中国医院管理》2019年第6期10-12,共3页Chinese Hospital Management

摘　　要：目的评估医院执行“医药分开”政策的费用控制效果。方法通过双重差分回归分析患者住院费用负担的影响因素。结果医院整体分析结果显示,政策前后患者住院费用负担保持平衡。自费患者和医保患者在住院费用变化上表现无显著差异。科室层面的分析显示,不同科室政策执行效果有差异,通过住院费用影响因素推断及病种层面的分析有利于医院提出适宜的改进措施。结论医院做细内部绩效评估,有利于“医药分开”政策费用控制目标在不降低医疗救治难度的前提下实现。Objective To evaluate the cost control effect during the Separation of Clinic from Pharmacy Reform.Method The influence of hospitalization expense was analyzed through double difference regression.Result The expense was balanced before and after the policy.Self-financed inpatients did not have significant difference on the change of expense compared with the medicare inpatients.The analysis of the influencing factors of expenses contributed to put forward suitable improvement measures.Conclusion The hospital’s appropriate evaluation of the policy effect is conducive to improve the policy implementation.

关 键 词：医药分开 住院费用 双重差分回归 

分 类 号：R197.32[医药卫生—卫生事业管理]