引用本文:高鹏, 周彩, 杨翠迎.家庭医生签约服务:经济绩效还是健康绩效[J].中国卫生政策研究,2021,14(8):37-44 |
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家庭医生签约服务:经济绩效还是健康绩效 |
投稿时间:2021-06-25 修订日期:2021-07-23 PDF全文浏览 HTML全文浏览 |
高鹏, 周彩, 杨翠迎 |
上海财经大学公共经济与管理学院 上海 200433 |
摘要:本研究在对既有研究进行回顾与梳理的基础上,利用CHARLS2018年微观调查数据实证检验了家庭医生签约服务的经济绩效和健康绩效。研究发现,家庭医生签约服务能使居民的健康水平显著提升,但对于医疗总费用支出和个人医疗负担的影响不显著。这一结论通过替换核心解释变量、考虑内生性问题等稳健性检验后依然成立。进一步研究表明,家庭医生签约对于不同年龄、户籍、慢性病人群和残疾人的健康促进存在差异,对于医疗经济负担的影响仍不明显。该结论对于我们重新审视和优化家庭医生签约制度具有借鉴意义。 |
关键词:家庭医生 绩效 健康 经济负担 实证分析 |
基金项目:国家社科基金重大项目(20&ZD114);上海财经大学研究生科研创新项目(CXJJ-2020-324);上海财经大学“千村调查”博士生研究项目(QCDC-2020-04) |
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Contracted family doctor services: Economic performance or health performance |
GAO Peng, ZHOU Cai, YANG Cui-ying |
School of Public Economics and Management, Shanghai University of Finance and Economics, Shanghai 200433, China |
Abstract:On the basis of reviewing and sorting up the existing studies, this Study empirically tested the economic performance and health performance of contracted family doctor services by using the micro survey data of CHARLS 2018. This study finds that contracted family doctor services can significantly improve the health level of residents, but it has no significant impact on total medical expenses and personal medical burden. This conclusion is still valid after robustness tests such as replacing core explanatory variables and considering endogenous problems. Further research shows that family doctor contracting has different effects on health promotion of residents with different age and different registered residence, patients with chronic diseases and disabled people, and the impact from family doctor contracting on medical economic burden is still not apparent. This conclusion provides a reference significance for helping us re-examine and optimize the family doctor contracting system. |
Key words:Family doctors Performance Health Economic burden Empirical analysis |
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