需求侧视角下三级公立医院非基本医疗服务分析

Analysis on the Non-Basic Medical Services in Public Tertiary Hospitals under the Demand Perspective

目的:为更好地促进多层次医疗服务的开展提供政策建议。方法:基于上海市4家三甲医院非基本医疗服务数据,采用可视化方法对非基本医疗服务发展现状进行分析。结果:(1)在突发公共卫生事件背景下,相对于基本医疗服务,非基本医疗服务的患者需求黏性更大;(2)特需医疗服务的患者需求呈现层次化、多样化趋势;(3)非基本医疗服务和基本医疗服务之间的次均费用差异首先体现在挂号费上,其次是检查化验费等费用。结论:发展非基本医疗服务有利于医院的可持续运营,但发展非基本医疗服务应做好对服务内容的监管工作,商业保险在监管和减轻患者负担方面有较好地应用前景。

Objective:It aims to provide policy suggestions for the promotion of multi-level medical services.Methods:Based on the data of non-basic medical services in four tertiary hospitals in Shanghai,the trend of development status of non-basic medical services is analyzed.Results:(1)The patient demand for non-basic medical services is more sticky compared to basic medical services;(2)the patient demand for special medical services shows a trend of hierarchy and diversification;(3)the differences in sub-average costs between non-basic medical services and basic medical services are mainly reflected in registration fees,followed by costs such as examination and laboratory fees.Conclusion:The development of non-basic medical services is conducive to the sustainable operation of hospitals,but the development of non-basic medical services should be well regulated in terms of service content,among which commercial insurance has a better application prospect in terms of regulation and reducing patients’burden.