首页|医保打包支付对县域医共体患者经济负担及满意度的影响

医保打包支付对县域医共体患者经济负担及满意度的影响

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目的:评估医共体的医疗保险打包支付对县域患者经济负担、医务人员收入和满意度的影响.方法:使用2018-2022年全国医共体监测县的抽样数据,以2020年为打包支付实施年份,以县域人口密度、县人均地区生产总值等为控制变量构建双重差分模型,评估打包支付对县域患者经济负担、医务人员收入及满意度的影响.结果:打包支付政策在一定程度上减轻了患者经济负担,对医务人员收入在2021年产生有统计学意义的正向效应,但对提高供需双方的满意度有待完善.结论:实施医保打包支付的医共体不会增加患者经济负担,具有较好的利贫效应,对医务人员收入也有一定提升,但政策仍有优化改善的空间.
Impact of Health Insurance Packaged Payment on Patients'Financial Burden and Satisfaction
Objective:To assess the impact of health insurance packaged payment in medical communities on the economicburden of patients,income and satisfaction of medical staff in counties.Methods:Using sample data from 2018-2022 from the national monitoring counties of medical communities,taking 2020 as the year of implementation of packaged payment,a double difference model was constructed with county population density and county per capita GDP as the control variables to assess the impact of packaged payment on the economic burden of patients,medical staff income and satisfaction in the county.Results:The packaged payment policy reduced the economic burden of patients to a certain extent and had a statistically significant positive effect on medical staff income in 2021,but it did not significantly increase the satisfaction of both supply and demand.Conclusion:The implementation of health insurance packaged payment of the MEC will not increase the economic burden of patients.It has a good pro-poor effect,and the income of medical staff has been improved to some extent,but there is still room for optimisation and improvement of the policy.

packaged payment of medical insurancemedical communityfinancial burdensatisfaction

郭彦虹、朱良英、王健、黄二丹、张艳春、农圣

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右江民族医学院 广西 百色 533000

国家卫生健康委卫生发展研究中心 北京 100032

医保打包支付 县域医共体 经济负担 满意度

国家自然科学基金项目国家卫生健康委"紧密型县域医共体监测评价研究"项目

72164036

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(7)