紧密型县域医共体信息化建设对乡镇卫生院服务能力的影响:基于DID的实证研究

The impact of the information construction of the compact county medical communities on the service capacity of township hospitals——An empirical study based on DID

目的:对紧密型县域医共体信息化建设对乡镇卫生院服务能力产生的影响进行研究。方法:基于山西省78个县(市、区)乡镇卫生院2017-2020年微观数据,通过构建双重差分模型评价紧密型县域医共体信息化建设对乡镇卫生院服务能力产生的影响。结果:紧密型县域医共体信息化建设对乡镇卫生院总诊疗人次数和病床使用率有显著影响,与乡镇卫生院总诊疗人次数呈正向关系,有利于提高乡镇卫生院总诊疗人次数;但与病床使用率呈负向关系,降低了乡镇卫生院病床使用率。结论:紧密型县域医共体信息化建设对提升乡镇卫生院服务能力的作用不容忽视,各地应以紧密型县域医共体信息化为抓手,合理利用卫生资源,增强基层服务能力,促进分级诊疗。

Objective: To study the impact of the information construction of the compact county medical community on the service capacity of township health centers. Methods: Based on the 2017-2020 micro-data of township health centers in 78 counties(cities, districts) in Shanxi Province, a double difference model was constructed to evaluate the impact of the information construction of the compact county medical community on the service capacity of township health centers. Results: The information construction of the compact county-level medical community has a significant impact on the total number of consultations and bed occupancy rates in township hospitals, and has a positive relationship with the total number of consultations in township hospitals, which is beneficial to increase the total number of consultations in township hospitals;However, it has a negative relationship with the utilization rate of hospital beds, which reduces the utilization rate of hospital beds in township hospitals. Conclusion: The role of compact county-level medical community informatization in improving the service capacity of township hospitals cannot be ignored. All localities should use compact county-level medical community informatization as a starting point,rationally use health resources, enhance grass-roots service capabilities, and promote Hierarchical Medical System.