我国公立互联网医院经济效果评估  

Economic impact assessment of public internet hospitals in China

作　　者：房亚楠 张晓旺 FANG Ya'nan;ZHANG Xiaowang(Tianjin Administration Institute,Tianjin,300191,PRC)

机构地区：[1]天津行政学院,天津市300191 [2]天津大学胸科医院,天津市300222

出　　处：《中国医院》2024年第9期23-27,共5页Chinese Hospitals

基　　金：天津市哲学社会科学规划研究项目成果(TJGLQN23-003)。

摘　　要：目的:探索公立互联网医院的设立对就医经济层面的影响。方法:基于2019年与2020年的公立互联网医院数据以及《中国卫生健康统计年鉴》数据,利用二次指派程序法剖析随着互联网医院数量的增加,其经济效果的展现。结果:互联网医院在2019年有助于缩小全国门诊费用和住院费用异质性,并且门诊的积极作用保持到了2020年;随着2020年互联网医院数量激增,拉大了住院医疗服务费用异质性。老年人作为医疗服务的弱势群体和主力军,在互联网医院利用方面需要更多关注。结论:应注意增加对住院患者的针对性远程服务供给,并进一步消除老年人使用互联网医院的“数字鸿沟”。Objective:To explore the economic impact of establishing public internet hospitals.Methods:Based on data from public internet hospitals in 2019 and 2020,as well as data from the"China Health Statistics Yearbook",the study utilized the Quadratic Assignment Procedure(QAP)to analyze the economic effects as the number of internet hospitals increased.Results:In 2019,internet hospitals helped reduce the heterogeneity in outpatient and inpatient costs nationwide,with the positive effect on outpatient services continuing into 2020.However,the rapid increase in the number of internet hospitals in 2020 led to greater heterogeneity in inpatient service costs.Elderly patients,as a vulnerable group and major users of medical services,require more attention in the utilization of internet hospitals.Conclusion:There should be an increased focus on providing targeted remote services for inpatients and addressing the"digital divide"that hinders elderly patients from using internet hospitals.

关 键 词：公立医院 互联网医院 经济效果 评估 

分 类 号：R197.3[医药卫生—卫生事业管理]