药品“零加成”改革与公立医院服务质量提升——基于中部某省试点公立医院的实证研究  

The Reform of Drug“Zero Mark-up”and the Improvement of Service Quality in Public Hospitals:An Empirical Study Based on A Pilot Hospital in A Chinese Central Province

作　　者：李静[1] 常江 路伟 LI Jing;CHANG Jiang;LU Wei(School of Economics,Hefei University of Technology,Hefei 230601,China;School of Management,Hainan Medical College,Haikou 571199,China)

机构地区：[1]合肥工业大学经济学院,安徽合肥230601 [2]海南医学院管理学院,海南海口571199

出　　处：《南京财经大学学报》2023年第4期46-56,共11页Journal of Nanjing University of Finance and Economics

基　　金：国家社会科学基金重大项目“新时代背景下我国经济发展质量动态评价及其政策协同研究”(18ZDA064);国家自然科学基金面上项目“多目标约束下水资源税改革的效果评估及政策优化研究”(71974051)。

摘　　要：药品“零加成”政策是新时期进一步深化医药卫生体制改革的重要政策,也是新时代推动公立医院高质量发展的重要抓手。基于2013—2018年中国中部某省272家公立医院的面板数据,利用双重差分模型,检验药品“零加成”改革对公立医院服务质量的影响。结果显示,药品“零加成”改革明显促进了公立医院服务质量的提升,其中对二级公立医院的影响尤为明显。影响机制分析表明,药品“零加成”改革主要通过增加医护人员的收入以及降低药品采购成本推动公立医院服务质量的提升。此外,药品“零加成”改革的效果在综合医院、专科医院以及处于该省不同地区的公立医院之间存在明显差异,其中对综合医院以及该省南部地区的公立医院服务质量的提升作用最为明显。以上结论为中国进一步深化公立医院供给侧结构性改革提供了有益的经验参考。The reform of drug“zero mark-up”is an important policy node for further deepening the current reform of the medical and health system,and it is also an important starting point for promoting the high-quality development of public hospitals.Based on panel data from 272 public hospitals from 2013 to 2018,we used the DID model to examine the impact of the drug“zero mark-up”reform on the service quality of public hospitals.The results show that the reform of drug“zero mark-up”has significantly promoted the improvement of the service quality of public hospitals,especially the performance of secondary public hospitals.Our analysis of the impact mechanism shows that reform of drug“zero mark-up”mainly promotes the improvement of the service quality of public hospitals by increasing the income of medical staff and reducing the cost of drug procurement.In addition,the effects of the reforms differed significantly between general and specialized hospitals and between public hospitals in different parts of the province,with the most significant improvements in service quality for general hospitals and public hospitals in the southern part of the province.The above conclusions provide useful data with which China can deepen the supply-side structural reform of public hospitals and promote the construction of a healthy China in the future.

关 键 词：药品“零加成”改革 服务质量 双重差分模型 公立医院 

分 类 号：F062.6[经济管理—政治经济学]