| 引用本文：许岩, 俞卫.政府公立医院财政专项补助对居民医疗费用负担的影响——基于某市23家三级医疗机构的分析[J].中国卫生政策研究,2014,7(10):27-32 |
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| 政府公立医院财政专项补助对居民医疗费用负担的影响——基于某市23家三级医疗机构的分析 |
| 投稿时间：2014-06-19 修订日期：2014-09-14 PDF全文浏览 HTML全文浏览 |
| 许岩1,2, 俞卫1 |
1. 上海财经大学公共经济与管理学院 上海 200433;
2. 上海申康医院发展中心 上海 200040 |
| 摘要:以基本建设或设备购置等方式注入公立医院的财政专项补助,能够在一定程度上分担公立医院发展投入方面的资金压力,减轻患者的医疗费用负担.为验证上述假设,基于某市23家三级医疗机构的数据,建立面板数据模型.实证研究发现:财政专项补助的增加会降低患者的医疗费用负担,相比之下,门诊医疗费用负担受财政专项补助的影响更为明显.财政专项补助通过分担公立医院部分成本而影响医院提供服务的行为,进而有利于降低患者的医疗费用负担. |
| 关键词:专项财政补助 医疗费用负担 公立医院 |
| 基金项目:2011年度国家社科基金重大项目(11&ZD176) |
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| Impact of itemized subsidies on medical expenditure burden in public hospitals: Analysis of data on 23 medical institutions |
| XU Yan1,2, YU Wei1 |
1. School of Public Economics and Administration, Shanghai University of Finance and Economics, Shanghai 200433, China;
2. Shenkang Hospital Development Center, Shanghai 200040, China |
| Abstract:To a certain extent, itemized government subsidies to public hospitals, primarily used for hospital infrastructure and large equipment investments, can alleviate the financial pressure of development expenditures and thus reduce the medical expenditure burden on patients. To test the hypothesis, the panel data method has been adopted based on the data of 23 tertiary hospitals. Empirical results find that: (1) increases in itemized subsidies will reduce the burden of medical expenses on patients; (2) conversely, the impact of itemized subsidies on outpatient medical expenses is more significant. By sharing a portion of public hospital expenses and impacting hospital service providing behavior, itemized subsidies help to reduce the burden of medical expenses on patients. |
| Key words:Itemized subsidies Medical expenditure burden Public hospitals |
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