医疗服务价格规制对控制医疗费用的区域差异研究

The Impact of Medical Service Price Regulation on the Control of Health Costs

本文依据价格规制理论,构建医疗费用控制影响因素模型,利用中国1994—2016年的经验数据,从医疗费用结构层面定量分析了医疗服务价格规制对门诊和住院的控费影响,并重点考察了控费存在的区域性差异问题。研究发现:在全国层面,医疗服务价格规制对控制人均门诊次均费用和人均住院费用具有一定的成效,但对于控制人均卫生费用支出的效果并不明显;在省际层面,医疗服务价格规制对降低门诊检查费用、住院药品费用和住院检查费用具有积极作用,但对控制门诊药品费用的影响不显著;在区域层面,东部和中西部之间存在显著的控费效果差异,东部地区整体效果显著,中西部较弱,且对中西部地区门诊费用中的药占比规制影响不大。最后提出了相应的政策建议。

This article based on the theory of price regulation,build medical expense control influence factors model,using the data from the 1994-2016 years of experience in China,from the structural quantitative to analysis the medical service price regulation how to effect on outpatient and hospitalization control cost and investigates the existing regional differences.The study found that:at the national level,The price regulation of medical service has some effect on the cost of outpatient service and the per capita hospitalization cost,but it is not obvious effect to control the expenditure of per capita health expenditure;At the provincial level,The regulation of medical service price has a positive effect on the cost of outpatient inspection,hospitalization expense and hospitalization inspection,but it has little impact on the control of outpatient medical expenses;At the regional level,there is a significant difference between the eastern and western regions,the overall effect of the eastern region is significant,the midwest is weak,and the drug proportion in the outpatient expenses in the central and western regions is ineffective.At last,the paper puts forward some corresponding policy Suggestions.