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向基层机构倾斜的门诊报销制度对高血压患者门诊服务利用的影响 被引量:5
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作者 汤淑女 简伟研 +1 位作者 Winnie C-M Yip 郭岩 《北京大学学报(医学版)》 CAS CSCD 北大核心 2014年第3期445-449,共5页
目的:研究向基层机构倾斜的门诊报销制度(即覆盖门诊服务且县、乡、村门诊报销比例由低到高的制度设计)对高血压患者门诊服务利用的影响。方法:从宁夏回族自治区"创新支付制度项目"获取2009年和2011年入户调查的面板数据,采... 目的:研究向基层机构倾斜的门诊报销制度(即覆盖门诊服务且县、乡、村门诊报销比例由低到高的制度设计)对高血压患者门诊服务利用的影响。方法:从宁夏回族自治区"创新支付制度项目"获取2009年和2011年入户调查的面板数据,采用自然试验的设计,针对干预组和对照组,利用双重差分法(difference-in-differences)进行分析,其结果指标为自报高血压患者样本被调查前3个月内是否就诊及其主要就诊地点的选择。结果:相较于对照组,倾向于基层的新农合门诊覆盖使得干预组高血压患者被调查前3个月内从未就诊的概率下降10.2%,并使患者将村卫生室作为主要就诊地点的概率提高了15.7%。结论:门诊报销比例向基层机构倾斜,可以引导高血压患者在疾病风险较小时就近利用门诊服务。 展开更多
关键词 保险 健康 高血压 卫生服务利用 双重差分法
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多方共赢的政策设计案例:宁夏盐池县县级医院包干制 被引量:11
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作者 简伟研 Winnie Yip +2 位作者 William Hsiao 陈文 胡敏 《中国卫生经济》 北大核心 2014年第11期8-10,共3页
2009年以来,我国多个地区都开展了各具特色的卫生改革尝试。总结这些改革的经验对于深化我国医药卫生体制有着积极意义。文章以宁夏回族自治区盐池县县级医院支付制度改革为核心,系统阐述了这次改革的政策安排并对政策效果进行了初步的... 2009年以来,我国多个地区都开展了各具特色的卫生改革尝试。总结这些改革的经验对于深化我国医药卫生体制有着积极意义。文章以宁夏回族自治区盐池县县级医院支付制度改革为核心,系统阐述了这次改革的政策安排并对政策效果进行了初步的评价。通过剖析这些安排对医疗服务提供者的激励作用,着重分析了这次改革如何实现"医、患、保多方共赢"的政策目标。 展开更多
关键词 县级医院 总额包干制 案例研究 宁夏
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Resilient and Inclusive Prosperity within Planetary Boundaries
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作者 Cameron Hepburn Eric Beinhocker +1 位作者 J.Doyne Farmer Alexander Teytelboym 《China & World Economy》 SCIE 2014年第5期76-92,共17页
The current model of economic growth generated unprecedented increases in human wealth and prosperity during the 19th and 2Oth centuries. The main mechanisms have been the rapid pace of technological and social innova... The current model of economic growth generated unprecedented increases in human wealth and prosperity during the 19th and 2Oth centuries. The main mechanisms have been the rapid pace of technological and social innovation, human capital accumulation, and the conversion of resources and natural capital into more valuable forms of produced capital. However, there is evidence emerging that this model may be approaching environmental limits and planetary boundaries, and that the conversion of natural capital needs to slow down rapidly and then be reversed Some commentators have asserted that in order for this to occur, we will need to stop growing altogether and, instead, seek prosperity without growth. Others argue that environmental concerns are low-priority luxuries to be contemplated once global growth has properly returned to levels observed prior to the 2008 financial crisis. A third group argues that there is no trade-off and, instead,, promotes green growth: the (politically appealing) idea is that we can simultaneously grow and address our environmental problems. This paper provides a critical perspective on this debate and suggests that asubstantial researc'h agenda is required to come to grips with these challenges. One place to start is with the relevant metrics: measures of per-capitawealth, and, eventually, quantitative measures of prosperity, alongside a dashboard of other sustainability indicators. A public andpoliticalfocus on wealth (a stock), and its annual changes, could realistically complement the current focus on market-based gross output as measured by GDP (a flow). This could have important policy implications, but deeper changes to governance and business models will be required. 展开更多
关键词 green growth limits to growth planetary boundaries RESILIENCE sustainable prosperity
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