医疗资源共享与医患关系改善:基于城市医联体建设的考察  

Medical Resource Sharing and Improvement of Doctor-Patient Relations:An Examination Based on Urban Medical Consortiums

作　　者：何庆红 朱凤梅 王震[1] He Qinghong;Zhufengmei;Wang Zhen

机构地区：[1]中国社会科学院经济研究所

出　　处：《社会政策研究》2024年第4期105-118,M0005,M0006,共16页Social Policy Research

基　　金：中国社会科学院青年人文社会科学研究中心调研项目(项目批准号:2024QNZX007,2025QNZX021)。

摘　　要：构建和谐友善的医患关系是推进健康中国建设的重要路径,亦是促进医疗卫生事业协调发展、提高人民群众健康水平的重要条件。本文以城市医联体建设为例,采用2012—2022年三个地级市医疗机构年报数据,运用双重差分模型,考察医疗资源共享对医患关系的影响及作用机制。研究发现,城市医联体建设实施后,医疗纠纷例数显著下降15.8%。机制分析表明,城市医联体建设通过发挥技术效应和管理效应,显著提升了医联体内二级及以下医院的医疗服务能力、临床规范水平和管理效率,有助于改善医患关系。本文研究为区域医疗资源共享促进医患关系改善提供了经验证据。Building harmonious and friendly doctor-patient relationships is a crucial path to advancing the Healthy China initiative and an important condition for promoting coordinated development in healthcare and improving public health.Using the construction of urban medical consortiums as a case study,this paper examines the impact and mechanisms of medical resource sharing on doctor-patient relations,based on annual report data from medical institutions in three prefecture-level cities between 2012 and 2022.Employing a difference-in-differences model,the study finds that the implementation of urban medical consortiums led to a significant 15.8%reduction in medical disputes.Mechanism analysis reveals that the construction of these consortiums significantly enhanced the medical service capacity,clinical standards,and management efficiency of secondary and lower-tier hospitals within the consortium through technical and managerial effects,contributing to improved doctor-patient relations.This research provides empirical evidence on how regional medical resource sharing can help improve doctor-patient relations.

关 键 词：医疗资源共享 城市医联体 医患关系 技术效应 管理效应 

分 类 号：R-05[医药卫生]