CAJ | 학술논문

目的：研究县级公立医院综合改革政策实施前后运行指标变化情况。方法：利用倍差法研究医院总收入、总支出、医疗服务收入、药品收入、次均住院费用和次均门诊费用的变化情况；利用面板数据的回归分析研究各因素对以上指标的影响程度。结果：县级医院综合改革通过取消试点医院的药品加成和非试点医院药品加成严格控制在15%以内的措施，有效控制了县级公立医院的药品收入，医院总收入增长幅度有所放缓；次均门诊费用和次均住院费用增长有所放缓。结论：县级公立医院综合改革试点医院运行平稳，没有出现因取消药品加成造成的收入减少而转嫁给医疗服务收费的情况。
목적：연구현급공립의원종합개혁정책실시전후운행지표변화정황。방법：이용배차법연구의원총수입、총지출、의료복무수입、약품수입、차균주원비용화차균문진비용적변화정황；이용면판수거적회귀분석연구각인소대이상지표적영향정도。결과：현급의원종합개혁통과취소시점의원적약품가성화비시점의원약품가성엄격공제재15%이내적조시，유효공제료현급공립의원적약품수입，의원총수입증장폭도유소방완；차균문진비용화차균주원비용증장유소방완。결론：현급공립의원종합개혁시점의원운행평은，몰유출현인취소약품가성조성적수입감소이전가급의료복무수비적정황。
Objective:To research the operation indexes changes in county-level hospitals before and after the implementation of the county-level hospital reform policy. Methods: Use DID model to research hospitals’ revenue and expenditure, medical service revenue, income from drugs, the average compensation of hospitalization expenditure and outpatient expenditure. Using panel data research various factors on the influence of the above indicators. Results:Through taking the measure of canceling the drug addition in pilot hospitals and non-pilot hospital within 15%, county-level hospitals comprehensive reform effectively control the drug income of county-level hospital, the hospital revenue growth has slowed. The average outpatient cost and hospitalization cost growth has slowed the increase. Conclusion: The operation of comprehensive reform of county hospitals is smooth, there is no existence of transfering revenue on medical services because of the cancellation of drug addition.