[1]蒋妍妍,谷俊朝,王虎峰.基于离散选择实验的居民家庭医生签约服务偏好研究[J].卫生经济研究,2024,41(03):36-40,46.
　JIANG Yanyan,GU Junchao,WANG Hufeng.Study on the Preference of Resident for Family Doctor Contracted Services based on Discrete Choice Experiment[J].Journal Press of Health Economics Research,2024,41(03):36-40,46.
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基于离散选择实验的居民家庭医生签约服务偏好研究

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
41
期数:
2024年03期
页码:
36-40,46
栏目:
专题研究
出版日期:
2024-02-28

文章信息/Info

Title:
Study on the Preference of Resident for Family Doctor Contracted Services based on Discrete Choice Experiment
作者:
蒋妍妍1; 谷俊朝1; 王虎峰2
1.首都医科大学附属北京友谊医院，北京 100050
2.中国人民大学公共管理学院，北京 100872
Author(s):
JIANG Yanyan;  GU Junchao;  WANG Hufeng
Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
关键词:
家庭医生签约服务;  偏好研究;  离散选择实验
Keywords:
family doctor contracted services;  preference study;  discrete choice experiment
分类号:
R19
文献标志码:
A
摘要:
目的：研究居民对家庭医生签约服务的偏好。方法：构建离散选择模型，采用混合Logit模型评估居民对家庭医生签约服务的偏好、每个属性的相对重要性以及不同特征居民对家庭医生签约服务的偏好异质性。结果：居民偏好选择每年签约自付费用为20元、诊疗水平高、药品配备高、提供基本服务包及中西医结合服务的家庭医生签约服务，以上属性的相对重要性分别为30.18%、20.95%、22.06%、14.55%、7.55%，不同特征居民偏好存在异质性。结论：加快推进医联体模式下的家庭医生签约服务，适当放开医保政策对签约服务的用药限制，提供“菜单式服务”，提高居民对家庭医生签约服务的认知度与参与度。
Abstract:
Objective To measure the preference of resident for family doctor contracted services. Methods A discrete choice model was constructed. The mixed logit model was used to evaluate the preference of residents for family doctor contracted services, the relative importance of each attribute, and the heterogeneity of the preference of residents for family doctor contracted services with different characteristics. Results Residents preferred the family doctor contracted services with the annual out-of-pocket fee of 20 yuan, high level of diagnosis and treatment, high drug provision, basic service package, and integrated Chinese and Western medicine services. The relative importance of the above attributes were 30.18%, 20.95%, 22.06%, 14.55% and 7.55%, respectively. The preferences of residents with different characteristics were heterogeneous. Conclusion It is necessary to accelerate the promotion of family doctor contracted services under the model of medical association, appropriately release the medication restriction of the medical insurance policy on contracted service, and provide menu-type services, in order to improve the awareness and participation of residents in family doctor contracted services.

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更新日期/Last Update: 2024-02-28