医疗服务价格调整政策实施效果评估框架构建及实证研究
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摘要
目的:构建政策评估框架,评价广州市公立医院医疗服务价格改革效果。方法:基于韦唐公共政策评估的效果模式,构建政策评估框架并对改革效果进行实证分析。结果:目标制定合理;政策执行到位;不同地区、级别、类型公立医院价格补偿水平不一,收入结构总体向好,住院患者费用增长得到有效控制。结论:价格改革基本实现政策预期效果,但需建立动态调整价格机制,进一步协调推进其他综合改革政策。
Objective: To construct a policy evaluation framework to evaluate the effect of medical service price reform in public hospitals in Guangzhou. Methods: Based on the effect model of Evert Vedung public policy assessment, it constructed a policy evaluation framework and conducted an empirical analysis on the reform effect. Results: The target was formulated reasonably; the policy implementation was in place; the price compensation levels, grades and types of public hospitals in different regions were different, the income structure was generally better, and the increase in hospitalized patients' expenses was effectively controlled. Conclusion: The price reform basically achieved the expected effect of the policy, but it was necessary to establish a dynamic price adjustment mechanism to further coordinate and promote other comprehensive reform policies.
Objective: To construct a policy evaluation framework to evaluate the effect of medical service price reform in public hospitals in Guangzhou. Methods: Based on the effect model of Evert Vedung public policy assessment, it constructed a policy evaluation framework and conducted an empirical analysis on the reform effect. Results: The target was formulated reasonably; the policy implementation was in place; the price compensation levels, grades and types of public hospitals in different regions were different, the income structure was generally better, and the increase in hospitalized patients' expenses was effectively controlled. Conclusion: The price reform basically achieved the expected effect of the policy, but it was necessary to establish a dynamic price adjustment mechanism to further coordinate and promote other comprehensive reform policies.
引文
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[2]赵莉晓.创新政策评估理论方法研究--基于公共政策评估逻辑框架的视角[J].科学学研究,2014,32(2):195-202.
[3]张丹丹,刘英杰,杜娟.情景分析法在医疗卫生研究领域的应用现状[J].继续医学教育,2016(9):74-75.
[4]莫勇波.公共政策学[M].上海:上海人民出版社,2013.
[5]陈振明.公共政策学:政策分析的理论、方法和技术[M].北京:中国人民大学出版社,2004.
[6]吕兰婷,王虎峰.公立医院医疗服务价格调整难点及推进策略[J].中国医院管理,2015,35(7):1-4.
[7]熊瑶,王冬,宋喜国,等.广东省城市公立医院补偿机制存在的问题与改革建议[J].中国卫生经济,2016,35(10):9-12.
[8]王海银,金春林,王惟,等.上海医疗服务价格比价体系构建[J].中华医院管理杂志,2015(8):627-630.
[9]游茂.医疗服务价格信息化管理探讨[J].中国卫生经济,2013,32(2):35-37.
[10]代涛.医药卫生体制改革网络信息监测系统构建研究[C].北京:中国医学科学院/北京协和医学院医学信息研究所/图书馆2010年学术年会,2011.
[11]沈敏华,戴德.江苏省县级公立医院医药价格综合改革效果评价研究[J].中国卫生经济,2016,35(7):47-50.