民营医院发展与个人医疗负担——基于人口老龄化的面板门槛模型研究
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江苏省研究生科研创新计划项目(KYCX20_1658)


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    摘要:

    我国不断放松民营医院进入医疗服务市场的管制,试图引入社会资本改善当前医疗服务市场竞争状况,打破公立医院完全垄断格局。民营医院发展能否有效降低个人医疗负担越来越受到关注,通过将民营医院发展划分为数量和服务质量两个层面,利用2010—2017年省级面板数据,实证检验了我国民营医院发展对个人医疗负担的影响。研究发现,民营医院数量上的增加和服务质量的提升均能够显著降低个人医疗负担。进一步利用面板门槛模型研究发现,民营医院发展对个人医疗负担的影响存在单门槛效应,当人口老龄化高于门槛值时,民营医院的发展将更加有利于个人医疗负担的降低。

    Abstract:

    China has been continuously relaxing the control of private hospitals entering the medical service market, trying to introduce social capital to improve the current medical service market competition and break the complete monopoly pattern of public hospitals.More and more attention has been paid to whether the development of private hospitals can effectively reduce the personal medical burden. By dividing the development of private hospitals into two levels: quantity and service quality, and using the provincial panel data from 2010 to 2017,this paper empirically tests the impact of the development of private hospitals on the personal medical burden. It is found that the increase in the number of private hospitals and the improvement of service quality can significantly reduce the medical burden of individuals.Further research using the panel threshold model shows that the development of private hospitals has a single threshold effect on the impact of personal medical burden. When the population aging is higher than the threshold value, the development of private hospitals will be more conducive to the reduction of personal medical burden.

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裴育,贾邵猛.民营医院发展与个人医疗负担——基于人口老龄化的面板门槛模型研究[J].南京审计大学学报,2020,(5):

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  • 在线发布日期: 2020-10-16
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