摘要
目的:规范医疗行为,控制医疗费用,优化诊疗技术。方法:应用倍差法比较干预政策对政策作用对象和非政策作用对象的效果随时间的变化。结果:医疗行为有所规范;医疗费用有所下降;医务人员积极性得以调动。结论:医疗机构实施临床路径管理、政府部门改革补偿机制与信息化监管三项改革捆绑式同步推进是成本不高、效果明显的政策选择。
Objectives：To standardize medical behaviors,control medical cost,optimize diagnosis and treatment technology.Methods：Difference in Difference was applied to compare changes in outcomes over time between intervention group and comparison group.Results：The medical behavior has been somehow standardized,medical cost has been reduced;positivity of medical personnel has been motivated.Conclusion：It is not costly but significant effect of policy choice to synchronously push the bundle of 3 types of reforms including management of clinical pathway in hospitals,reform of compensation mechanism by governments and supervision of information system.
出处
《中国卫生经济》
北大核心
2011年第7期13-16,共4页
Chinese Health Economics
基金
世界银行贷款英国政府赠款中国农村卫生发展项目(7551-CN)
关键词
临床路径
补偿机制
效果评价
倍差法
clinical pathway
compensation mechanism
impact evaluation
difference in difference
