| 引用本文：张权宇, 杨玉洁, 李星, 雷海潮.北京医耗联动综合改革的效率与可及性评价[J].中国卫生政策研究,2021,14(1):24-28 |
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| 北京医耗联动综合改革的效率与可及性评价 |
| 投稿时间：2020-10-27 修订日期：2021-01-09 PDF全文浏览 HTML全文浏览 |
| 张权宇1, 杨玉洁2, 李星1, 雷海潮3 |
1. 首都医科大学公共卫生学院 北京 100069;
2. 中国医学科学院医学信息研究所 北京 100020;
3. 国家卫生健康委员会 北京 100044 |
| 摘要:目的：评价北京医耗联动综合改革的效率与可及性。方法：以评价指标集为基础，运用描述性统计结合“投射—实施后”对比分析法，对各项指标进行分析。结果：北京医耗联动综合改革实施六个月后，医疗服务效率提高，各级医疗机构手术人次显著增加，二、三级医疗机构平均住院日缩短；技术劳务收入占比明显提高，卫生材料收入占比下降；基层医疗机构门急诊人次占比增加；基层慢病长处方和缺药登记服务人次增长迅速；患者就医负担有所减轻，但出院病人次均CT核磁检查费略有增长。结论：北京医耗联动综合改革的实施提升了医疗服务的效率与可及性，但仍存在改进空间。建议进一步规范大型医用设备配置使用，实施促进、改善和引导三举措；深化医保制度和集中采购政策改革。 |
| 关键词:效率 可及性 “投射—实施后”对比分析法 医耗联动综合改革 |
| 基金项目:国家社会科学基金（14BGL140） |
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| A study on evaluation of the efficiency and accessibility in the comprehensive reform of linkage between medical services and medical supplies in Beijing |
| ZHANG Quan-yu1, YANG Yu-jie2, LI Xing1, LEI Hai-chao3 |
1. School of Public Health, Capital Medical University, Beijing 100069, China;
2. Institute of Medical Information, Chinese Academy of Medical Science, Beijing 100020, China;
3. National Health Commission of the People's Republic of China, Beijing 100044, China |
| Abstract:Objective:To evaluate the efficiency and accessibility in the comprehensive reform of linkage between medical services and medical supplies in Beijing. Methods:Based on the evaluation indicators set, descriptive statistics in combination with the comparative analysis method of "Projection-after implementation" was used to analyze the relevant indicators. Results:Six months after the launch of implementation of the comprehensive reform of linkage between medical services and medical supplies in Beijing, the following changes occurred:The medical service efficiency was improved, the person-number of surgeries in medical institutions at all levels increased significantly, and the average length of stay of inpatients in secondary and tertiary medical institutions were shortened; The proportion of income from technical labor services increased significantly, while the proportion of income from medical materials decreased; The proportion of outpatient and emergency patients in primary medical institutions increased; The person-number of patients with chronic diseases and long prescriptions as well as drug shortage registration services increased rapidly; The medical burden of patients was reduced, but the average cost of CT and MRI examination per time for discharged patients increased slightly. Conclusions:The implementation of the comprehensive reform of linkage between medical services and medical supplies in Beijing improved the efficiency and accessibility of medical services; however, there is still a room for improvement. It is suggested to further standardize the allocation and use of large-size medical equipment, implement three measures for promotion, improvement and guidance, and deepen the reform of health insurance system and centralized procurement policy. |
| Key words:Efficiency Accessibility Comparative analysis method of “Projection-after implementation” The comprehensive reform of linkage between medical services and medical supplies |
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