财政补贴对医院经营行为的影响研究  

Effects of Public Subsidies on Hospital Management in China

作　　者：岳阳 朱恒鹏[3] 王誉霖 YUE Yang;ZHU Hengpeng;WANG Yulin(School of Economics,Xiamen Universtity;Wang Yanan Institute for Studies in Economics,Xiamen University;Institute of Economics,Chinese Academy of Social Sciences;Center for Public Policy Research,Chinese Academy of Social Sciences)

机构地区：[1]厦门大学经济学院经济研究所与王亚南经济研究院,361005 [2]计量经济学教育部重点实验室(厦门大学),361005 [3]中国社会科学院经济研究所,100836 [4]中国社会科学院公共政策研究中心,100836

出　　处：《经济研究》2023年第3期154-171,共18页Economic Research Journal

基　　金：世界银行科研项目(SBS-2020-03);国家自然科学基金面上项目(72173106);国家自然科学基金重点项目(72133004)的阶段性成果。

摘　　要：本文以公立医院为例探讨公立机构的经济行为模式,聚焦财政补贴对公立医院行为模式和经营效率的影响机理。本文构建了一个涵盖财政补贴、医院投入和定价决策的理论模型,分析财政补贴对医院行为的影响机制。财政补贴的可得性,允许公立医院可以承受更高的经营亏损,使得医院可以通过扩张规模和提高技术水平,在吸引更多患者扩大市场规模的同时通过提高收费水平增加收益。模型预测财政补贴引致医院亏损运营,且补贴水平越高医院亏损规模越大。然后,使用十三个地市的医院微观数据,实证分析了财政补贴对医院支出行为的影响,并分析了财政补贴效应的异质性和因果机制。结果表明,增加财政补贴的确会提高医院亏损规模,进而降低其经营效率。The Chinese government has made substantial investments in public hospitals,and government subsidies have become an essential source of income for these institutions.However,the specific impact of public financial input on hospital behavior and efficiency remains unclear.As China's economy experiences rapid growth and an aging population,healthcare demand urgently increases,making it imperative to improve the efficiency of public hospitals and promote better healthcare services.This study aims to explore the impact of public subsidies on the behavior and efficiency of public hospitals in China,which can inform policy decisions aimed at enhancing healthcare delivery in the country.The paper seeks to investigate the impact of public subsidies on hospital management in China,including how subsidies affect hospital spending behavior,operational efficiency,and market share.The study uses a combination of theoretical and empirical methods to answer this question and provide insights that can inform policy decisions aimed at improving healthcare delivery in China.In the theoretical analysis section,a model covering fiscal subsidies,hospital input,and pricing decisions is constructed to analyze the impact of fiscal subsidies on hospital behavior.The theoretical results indicate that the availability of fiscal subsidies allows public hospitals to tolerate higher operational losses,thereby attracting more patients by expanding their scale and improving their technical capabilities.Thus,hospitals can attract more patients and increase their market share while also raising their revenue by increasing fees.As a result,fiscal subsidies lead to hospital losses,and the higher the subsidy level,the larger the scale of hospital losses.In the empirical section,this paper uses data from public hospitals in 13 cities from 2008 to 2020,employing a panel data regression model and analyzing the impact of government subsidies on hospital behavior at both the hospital and regional levels.The empirical results show that increasing fiscal s

关 键 词：财政投入 医疗服务费用 医院运营 

分 类 号：R197.32[医药卫生—卫生事业管理]