CAJ | 학술논문

本文利用2007—2010年“国务院城镇居民医疗保险试点评估调查”数据，实证检验了公立与民营医疗机构医疗费用以及服务水平与质量的区别。研究发现。民营医疗机构就诊的患者医疗费用显著低于公立医疗机构，而且以患者满意度与就诊等待时间来测度的医疗机构服务水平与质量显著高于公立医疗机构。进而，我们采用工具变量（IV）的方法纠正模型所存在的内生性问题，所得结果基本支持了我们之前的研究结论。此研究很大程度上能够说明，在中国当前医疗体制改革进程中，加大市场的竞争力度，鼓励或推进民营医疗机构在我国的发展，以及鼓励包括国有企业所办医院在内的部分公立医院的改制重组，将有益于“看病难、看病贵”这一问题的解决。
본문이용2007—2010년“국무원성진거민의료보험시점평고조사”수거，실증검험료공립여민영의료궤구의료비용이급복무수평여질량적구별。연구발현。민영의료궤구취진적환자의료비용현저저우공립의료궤구，이차이환자만의도여취진등대시간래측도적의료궤구복무수평여질량현저고우공립의료궤구。진이，아문채용공구변량（IV）적방법규정모형소존재적내생성문제，소득결과기본지지료아문지전적연구결론。차연구흔대정도상능구설명，재중국당전의료체제개혁진정중，가대시장적경쟁력도，고려혹추진민영의료궤구재아국적발전，이급고려포괄국유기업소판의원재내적부분공립의원적개제중조，장유익우“간병난、간병귀”저일문제적해결。
Using the Urban Resident Basic Medical Insurance Survey data of the State Council of China（2007 -2010）, we compare the expenditures and medical care quality between public and private medical institutions on outpatient heahhcare. We find that the outpatient expenditure in private institutions is significant lower than that in public institutions,and patient＇ s satisfactions are higher and waiting time is significant shorter in private institutions. Then we use the instrument variable method（IV） to correct the endogenous problem of our model, and the results of IV models basically support our OLS conclusions. These results indicate that enhancing the competition of medical market in China will be beneficial to resolve the problem of ＂[（an bing nan, Kan bing gui＂,