CAJ | 학술논문

目的准确了解医师多点执业政策在我国的试点情况,评价多点执业实施效果.方法收集昆明市所有医疗机构2008年、2009年部分运营数据,采用固定效应模型分析多点执业实施效果.结果在控制医院规模、经济类型等相关因素下,多点执业医师第二执业机构总诊疗人次数比实施多点执业前增加了14％,机构的医疗收入增加了29％.此外,多点执业政策对一、二级医疗机构总诊疗人次和医疗收入增加的影响更为显著.结论昆明市多点执业政策的实施效果明显,增加了卫生服务供给量,并提高了医疗收入,尤其是对一、二级医疗机构.这种影响产生的原因可能是由于多点执业政策使得高技术水平的医师下沉到基层,增加了基层医疗机构对患者的吸引力.
목적 준학료해의사다점집업정책재아국적시점정황,평개다점집업실시효과.방법 수집곤명시소유의료궤구2008년、2009년부분운영수거,채용고정효응모형분석다점집업실시효과.결과 재공제의원규모、경제류형등상관인소하,다점집업의사제이집업궤구총진료인차수비실시다점집업전증가료14％,궤구적의료수입증가료29％.차외,다점집업정책대일、이급의료궤구총진료인차화의료수입증가적영향경위현저.결론 곤명시다점집업정책적실시효과명현,증가료위생복무공급량,병제고료의료수입,우기시대일、이급의료궤구.저충영향산생적원인가능시유우다점집업정책사득고기술수평적의사하침도기층,증가료기층의료궤구대환자적흡인력.
Objective To accurately understand multi-spot medical practice in China and evaluate its effect.Methods Operation data of 2008 and 2009 were gathered from all medical institutions in Kunming to analyze the effect of the practice trial using the fixed effect model.Results Under control of such factors as the scale and type of the hospitals,clinic visits of the second certified hospital benefited by the practice increased by 14％than before,whereas the medical revenue of the institution increased by 29％.The effect proves more significant in terms of total clinic visits and medical revenues at level-1 and level-2 medical institutions.Conclusion Multi-spot medical practice in Kunming proves successful as it increased medical service supply and medical revenue,especially for level-1 and level-2 medical institutions.This effect possibly results from releasing high-level physicians down to lower-level institutions,helping these institutions to attract patients.