免费医疗模式下的医生行为分析:青海省藏区小苏莽诊所的实证研究

Physician Behavi or Analysis under a Free Health Care System: An Empirical Research on Surmang Charity Clinic in Qinghai Tibetan Area

文章利用2009年北京大学人口研究所在青海藏区的调查资料,对西部贫困地区小苏莽诊所实行的免费医疗模式之下医生的行医及用药行为进行了分析。研究认为,该诊所提供的服务对当地人口健康状况起到了积极的促进作用,免费医疗模式下医生的治疗方式和用药行为与乡镇卫生院不同,在贫困地区和少数民族地区基层医疗卫生服务提供上有借鉴意义。

Based on the data of systematic medical institutions investigation and in-depth interviews of their responsible persons and practitioners in Qinghai Province undertaken in 2009,the paper focused on description and analysis of physician behaviors in treat-ment strategies and drug selections provided by a charity clinic compared with public medical institutions.The results show that physi-cian behaviors in treatment strategies and drug selections provided by the charity clinic were markedly different from that by the public,primary medical institutions.The charity clinic provided better primary health care services than public,primary medical institutions.The rational physician behaviors of the charity clinic were built on physician ＇s high income,excellent professional training,and good professional reputation.