[1]崔宇杰,姚 瑶,刘国恩.基层医生特征与医疗费用的关系研究——基于新农合数据的分析[J].卫生经济研究,2018,(10):30-33.
　CUI Yu-jie,YAO Yao,LIU Guo-en.Study on the Relationship between the Characteristics of Primary Doctors and Medical Expenses——Based on the Analysis of the Data of New Rural Cooperative Medical System[J].Journal Press of Health Economics Research,2018,(10):30-33.
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基层医生特征与医疗费用的关系研究
——基于新农合数据的分析
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2018年10期
页码:
30-33
栏目:
方法学应用
出版日期:
2018-10-05

文章信息/Info

Title:
Study on the Relationship between the Characteristics of Primary Doctors and Medical Expenses
——Based on the Analysis of the Data of New Rural Cooperative Medical System
作者:
崔宇杰1;  姚 瑶2 ;  刘国恩1
1. 北京大学国家发展研究院，北京 100871
2. 上海交通大学中国医院发展研究院 ，上海 200025
Author(s):
CUI Yu-jie;  YAO Yao;  LIU Guo-en
Institute of National Development Research, Peking University, Beijing 100871, China
关键词:
医生特征; 医疗费用; 基层医疗机构; 新农合
Keywords:
characteristics of doctors;  medical expense;  primary medical institution;  new rural cooperative medical system
分类号:
R19
文献标志码:
B
摘要:
通过对中国西部某县新农合报销数据库2011—2012年的门诊记录和基层医疗机构的医生情况，构建计量经济学模型，对医生特征和医疗费用的相关关系进行实证分析。研究发现，基层医生诊疗水平相关的特征（如学历、从业年限、执业情况等）与疾病（上呼吸道感染为例）的诊疗费用显著相关，提示提升基层医生诊疗水平有助于控制医疗费用的不合理增长。
Abstract:
Through the outpatient records of the new rural cooperative medical system's reimbursement database of a county in western China from 2011 to 2012 and the doctors in the primary medical institutions, an econometric model was constructed to empirically analyze the correlation between doctors' characteristics and medical expenses. The study found that the characteristics of the level of doctors' diagnosis and treatment were significantly related with the cost of diagnosis and treatment of diseases,suggesting that promoting the level of doctors at the primary level helps to control medical expenses' unreasonable growth.

参考文献/References:

[1] Smits F T, Brouwer H J, Zwinderman A H, et al. Morbidity and doctor characteristics only partly explain the substantial healthcare expenditures of frequent attenders: a record linkage study between patient data and reimbursements data[J]. Bmc Family Practice, 2013, 14(1):138.
[2] Stephens P, Leufkens H. The impact of patient and doctor characteristics on the prescribing of low cost generic formulations in Brazil[J]. Journal of Generic Medicines, 2015(11):3-4.
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[4] 柴佳鹏. 临床医生处方行为的影响因素分析与实证研究[D]. 上海：复旦大学, 2009.
[5] 丁宏, 杨善发, 袁方,等. 乡村医生医疗服务行为研究[J]. 中国医院管理, 2004, 24(9):59-60.
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更新日期/Last Update: 2018-09-29