信息技术进步、医疗信息溢出与患者就医选择  

Information Technology Progress,Medical Information Spillover,and Patients'Medical Choices

作　　者：靳卫东 郑浩天 薛晓靓 Jin Weidong;Zheng Haotian;Xue Xiaoiang(School of Economics,Qingdao University,Qingdao 266061,China)

机构地区：[1]青岛大学经济学院,山东青岛266061

出　　处：《财经研究》2024年第5期79-92,共14页Journal of Finance and Economics

基　　金：国家社会科学基金项目(21BJY101)。

摘　　要：医疗信息不对称导致的患者盲目就医,是“看病难,看病贵”问题的重要成因。而当前现代信息技术快速发展,有利于打破这种医疗信息不对称,为患者改变盲目就医行为提供了可能。在此背景下,文章考察了信息技术进步对患者就医选择的影响,结果显示:信息技术进步改变了患者就医行为,有助于其选择自我诊疗或者到基层医疗机构就医,且该变化在拥有子女、与子女同住、患有慢性病以及病情较轻的患者中尤为显著。机制分析表明,信息技术进步有利于疾病诊疗信息溢出,可以帮助患者更加准确地了解自身病情,进而能够根据病情需要选择自我诊疗或者到基层医疗机构就医;同时,信息技术进步也扩大了各级医疗机构服务能力信息的溢出,从而在“强基层”背景下会吸引更多患者到基层医疗机构就医。显然,这两方面因素都改变了患者就医选择,有助于患者合理就医。因此,文章认为,在加强基层医疗机构建设的同时,推进疾病诊疗信息共享和医疗服务能力信息供给,也是解决“看病难、看病贵”问题的重要方面。In recent years,China has continuously increased the input of primary medical resources to solve the problem of"difficult and expensive medical treatment".However,many patients do not understand their condition and have no way of knowing the service capacity of medical institutions.Therefore,to avoid misdiagnosis and the possible health risks it may cause,patients can only seek"higher"medical treatment blindly.The rapid development of modern information technology is conducive to breaking this medical information asymmetry,making it possible for patients to change their blind health-seeking behavior.Based on the empirical facts of China's medical information asymmetry,this paper studies the impact of information technology progress on patients'medical choices.The results show that information technology progress changes patients'medical choices,helping them choose self-diagnosis or treatment at primary medical institutions.Further mechanism analysis shows that information technology progress is beneficial to the information spillover of diagnosis and treatment and can enhance patients'understanding of their condition,thus reducing blind health-seeking behavior.At the same time,information technology progress also expands the information spillover of the service capacity of medical institutions at all levels,thereby attracting more patients to primary medical institutions under the background of"strengthening grassroots".Both factors change patients'medical choices and help them to seek medical treatment rationally.In particular,for patients who have children,live with children,and suffer from chronic and mild conditions,the impact of information technology progress is greater,which is more conducive for them to choose self-diagnosis or"sinking"medical treatment.Therefore,to achieve reasonable medical treatment for urban and rural patients,attention should be paid to the following aspects:First,further strengthen the construction of primary medical institutions,including improving medical alliance and medical comm

关 键 词：医疗服务 就医行为 信息技术 分级诊疗 

分 类 号：F49[经济管理—产业经济] C913.4[社会学]