三级公立医院患者费用与基本医疗保险基金支出的关联性研究  

Study on the Relationship between Patient Expenditure and Basic Medical Insurance Fund Expenditure in Tertiary Public Hospitals

作　　者：黄明燕 王前强 HUANG Ming-yan;WANG Qian-qiang(Humanities and Social Sciences School,Guangxi Medical University,Nanning 530021,China;不详)

机构地区：[1]广西医科大学人文社会科学学院,南宁530021

出　　处：《中国卫生经济》2023年第3期17-19,45,共4页Chinese Health Economics

基　　金：国家社会科学基金项目(18XZZ013)。

摘　　要：目的:分析三级公立医院患者费用与基本医疗保险基金支出的相互关系。方法:基于2019—2021年国家卫生健康委员会和国家医疗保障局所公布的基本医疗保险和医疗费用方面的月度数据,建立向量自回归模型,采用脉冲响应函数分析二者的关联性。结果:三级公立医院患者费用与基本医疗保险基金支出存在双向格兰杰因果关系,前者对后者的冲击可持续至8期,而后者对前者的冲击主要集中在前4期。结论:三级公立医院患者费用与基本医疗保险基金支出相互影响,在受到对方冲击后均会做出响应,不同变量间的冲击强度存在差别,但前者对后者的冲击持续时间更长。Objective:To analyze the relationship between patient expenses and basic medical insurance fund expenditure in tertiary public hospitals.Methods:Based on the monthly data of basic medical insurance and medical expenses published by the National Health Commission and the National Medical Security Administration from 2019 to 2021,a Vector Auto Regression(VAR)model was established,and the impulse response function was used to analyze the relationship between these two variables.Results:There is a two-way Granger causality between the patient expenses of tertiary public hospitals and the expenditure of basic medical insurance fund.The impact of the former on the latter can last to 8 periods,while the impact of the latter on the former is mainly concentrated in the first 4 periods.Conclusion:The patient expenses and basic medical insurance fund expenses in tertiary public hospitals influence each other,and respond after being impacted by each other.The impact intensity of different variables is different,but the impact of the former on the latter lasts longer.

关 键 词：公立医院 次均门诊费用 人均住院费用 基本医疗保险基金支出 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F840.613[经济管理—保险]