摘要
目的:探究我国社区卫生服务中心医疗服务情况与卫生总费用之间的关系,为降低医疗卫生裁用提供借鉴与思路。方法:运用ADF单位根检验、协整检验、格兰杰因果关系检验对2004 2017年我国社区卫生服务中心医疗服务情况和卫生总费用数据进行分析。结果:个人现金卫生支出是诊疗人次的格兰杰原因;个人现金卫生支出是病床使用率的格兰杰原因;个人现金卫生支出与医生日均担负诊疗人次互为格兰杰原因。结论:以分级诊疗政策为导向,倡导基层首诊制度;通过医保报销政策规范患者的就医行为;提高全科医生的培养力度;注重未病先防,提高居民的健康素养。
Objective: To explore the relationship between medical services and total health expenditure in community health service centers of China, and to provide references and ideas for reducing medical and health expenses. Methods: ADF unit root test, cointegration test and Granger causality test were used to analyze the medical service status and total health cost data of community health service centers in China from 2004 to 2017. Results: Personal cash health expenditure was the Granger cause of medical treatment;out? of^pocket(OOP) was the Granger cause of bed utilization rate;OOP and doctor's responsible for Granger's daily average. Conclusion: Based on the grading diagnosis and treatment policy, it advocated the primary diagnosis system at the grassroots level;regulated the patient's medical treatment behavior through the medical insurance reimbursement policy;improved the training for general practitioners;paid attention to the prevention of illness and improved the health literacy of residents.
作者
刘军军
王高玲
严蓓蕾
LIU Jun-jun;WANG Gao-ling;YAN Bei-lei(School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, 210023, China)
出处
《中国卫生经济》
北大核心
2019年第10期59-61,共3页
Chinese Health Economics
基金
2016年国家自然科学基金项目（71673148)
2015年度教育部人文社会科学研究规划基金项目（15YJA ZH070）
江苏省研究生科研与实践创新计划项目（KYCX19_1243)
关键词
社区卫生服务中心
医疗服务
卫生总费用
community health service center
medical service
total health expenditure
