医院资源差异与区域政策效应——基于京津冀协同发展的实证检验  

Hospital Resource Differences and Regional Policy Effects——An Empirical Test based on the Coordinated Development of the Beijing-Tianjin-Hebei Region

作　　者：索云龙 陈超亿 冯占春[1] SUO Yunlong;CHEN Chaoyi;FENG Zhanchun(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan Hubei 430030,China;不详)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030

出　　处：《卫生经济研究》2024年第2期51-55,共5页

基　　金：国家自然科学基金面上项目“卫生人员纵向整合对农村公共卫生系统绩效的作用机制研究”(71673098)。

摘　　要：目的:分析京津冀医院资源的变化特征,识别京津冀协同发展战略对区域医院资源配置的政策效应。方法:基于2011—2019年30个省(区、市)的面板数据,采用合成控制法评估京津冀医院集聚度的政策效应。结果:北京、天津医院集聚度水平远高于河北,在政策影响下,北京医院集聚度下降幅度持续扩大,“非首都功能”疏解成效显著;河北医院集聚度水平上升,资源得到持续补充;天津医院集聚度的政策效应不稳定,但也一定程度上提升了医院配置公平性。结论:京津冀医院资源配置整体优化,但“中心化”特征仍旧明显,应通过加强顶层设计、创新服务模式、优化资源结构,进一步推动医疗卫生资源的合理配置。Objective To analyze the changing characteristics of hospital resources in Beijing-Tianjin-Hebei region,and to identify the policy effect of the coordinated development of the Beijing-Tianjin-Hebei region on regional hospital resource allocation.Methods Based on the panel data of 30 provinces(autonomous regions and municipalities)from 2011 to 2019,the policy effect of the hospital agglomeration in Beijing-Tianjin-Hebei region was assessed using the synthetic control method.Results The level of hospital agglomeration in Beijing and Tianjin was much higher than that in Hebei.Under the influence of the policy,the decline of hospital agglomeration in Beijing had continued to expand,and the"non-capital function"had been effectively relocated.The level of hospital agglomeration in Hebei had risen,and the resources had been continuously replenished.The policy effect of hospital agglomeration in Tianjin had been unstable,but it also improved the fairness of hospital allocation to a certain extent.Conclusion Hospital resource allocation in Beijing-Tianjin-Hebei region has been optimized as a whole,but the characteristic of"centralization"is still obvious.It is necessary to strengthen the top-level design,innovate the service model,and optimize the resource structure,in order to further promote the rational allocation of medical and health resources.

关 键 词：医院资源 京津冀协同发展 卫生资源集聚度 合成控制法 

分 类 号：R19[医药卫生—卫生事业管理]