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以某地区住院患者病案数据为基础,以非慢性重大疾病为对象,建立计量经济模型,在单病种微观层次上研究住院医疗费用和城镇职工基本医疗保险对于疾病医疗效果的影响。结果发现大病住院费用支出能够带来更高的医疗效果,但是城镇职工基本医疗保险患者的医疗费用支出带来的医疗效果改善显著低于自费患者。结论认为该地区城镇职工基本医疗保险制度降低了大病医疗的投入产出效率,对于社会医疗资源配置具有逆向调节作用。
Based on the case data of inpatients in a certain area, econometric models were established for non-chronic major diseases and the impact of hospitalization expenses and basic medical insurance for urban workers on the medical effects of diseases were studied on the microscopic level of single disease. The results showed that hospital expenditures for serious illness can bring about higher medical effects, but the medical effect of the medical expenses of urban employees’ basic medical insurance system is significantly lower than that of the patients who pay medical expenses. The conclusion is that the basic medical insurance system for urban workers in this area has reduced the input-output efficiency of serious medical care and played a reverse regulatory role in the allocation of social medical resources.