医疗卫生监管对医院违法影响的实证分析——基于社会办医增长视角

Empirical analysis of the effect of medical and health supervision on hospital violations——based on the growth perspective of social capital running medical institutes

基于2007-2015年我国医院违法案件发生比例、社会办医院占所有医院比例、医院违法罚款金额、监管技术人员数量及政府卫生支出情况等变量,进行多元回归分析。结果显示:社会办医数量增长对医院违法率的影响显著为正,但在控制政府卫生支出后,监管技术人员数量、受教育水平及罚款金额对医院违法案件率的影响显著为负。对此认为:尽管社会办医院数量的增加使医院违法案件不断上升,但在政府卫生投入不断增长的趋势下,加强医疗服务监管有助于降低医院违法率。因此,政府在鼓励社会办医的同时,应提高医疗卫生监管水平,引导我国社会办医健康发展。

The multivariate regression model has been used on the basis of these variables, including for example the proportion of hospital illegal cases, the proportion of hospitals run by social capital in all hospitals, the amount of hospital fines, the number of supervising technicians and the government health expenditure. The result showed that the increase in the number of social capital running medical institutes has a significant positive impact on the rate of hospitals violation, but after controlling government health expenditure, the number of supervising technicians, educational level and the amount of fines have a significant negative effect on the rate of hospital violation. In view of this, although the increase in the number of social capital running medical institutes makes the hospital illegal cases rise, but under the trend of increasing government health investment, strengthening the supervision of medical service is helpful to reduce the rate of hospital violation. Therefore, the government should improve the level of medical and health supervision and guide the healthy development of medical service while encouraging social capital running medical institutes.