南京市儿童医院医药价格综合改革后门急诊量及价格弹性分析

Empirically analysis on outpatients/emergency visits and price elasticity of the medical prices reform at Nanjing Children＇s Hospital

目的探讨公立医院医药价格综合改革后，儿童专科医院门急诊量变化情况。方法统计2015年医药价格改革前、后南京市儿童医院的门急诊量变动情况；结合整体结构变化、各类号别的需求价格弹性及交叉价格弹性等，进行实证分析。结果医院总体门急诊量变化不大，但其结构有所改变。普通门诊月均增长7072人次，增幅12．6％；高级专家门诊月均增长3035人次，增幅48．4％。价格弹性系数〈1，各类号别需求、交叉价格弹性均呈现弱弹性。结论改革历时1年，医院运行平稳，虽然门急诊诊察费价格有较大幅度提高，但儿童医院的门急诊量并没有明显减少，对儿童医疗服务仍有很强的需求。

Objective To identify the changes of outpatients/emergency visits at Nanjing Children＇s Hospital since introduction of the general pricing reform at public hospitals. Methods Fluctuations of outpatients/emergency visits at Nanjing Children＇s Hospital before and after the reform in 2015 were compared, and an empirical analysis was made in view of the overall structural changes, demand price elasticity and cross- price elasticity of various outpatients/emergency visits. Results The change of total outpatients/emergency visits was minima], yet the composition registered significant changes. Monthly average of common outpatients totaled 7 072 visits,a growth of 12.6%; that of senior specialists totaled 3 035 visits,a growth of 48.4%. The price elasticity was 〈 1, while the demand for various outpatients/emergency visits services and cross-price elasticity appeared inelastic. Conclusions The one year reform has witnessed the hospital in smooth operations as yet. Given the sizable rise of examination prices for both outpatients/emergency visits, patient volume remains stable instead of drastic decrease, evidencing the strong demand for children＇s medical services.