目的: 考察DRG政策实施对医疗服务效率的实际影响。方法: 基于2014—2022年三明市公立医疗机构数据,分别选用出院者平均住院天数、每百门急诊入院人次数、床位使用率指标衡量医疗服务效率,采用双重差分法探究DRG政策实施对医疗服务效率的影响。结果: 基准回归结果和稳健性验证表明,DRG政策实施能够显著提升医疗服务效率,并且发现通过降低医药费用的途径来提升医疗服务效率,但DRG政策对医疗服务效率的影响存在边际效应,提升作用不具有长效性。结论: DRG政策对于医疗服务效率具有提升作用,建议以医疗服务效率为抓手,提高DRG医疗服务质量。重视DRG政策效应的长期连贯性,强化监管力度。完善DRG配套措施,优化医疗资源配置。发挥DRG优势,促进医联体建设。
Abstract
Objective: The paper examines the actual impact of DRG policy on the efficiency of medical service. Methods: Based on the panel data on the public medical institutions in Sanming City from 2014 to 2022, the average length of stay for discharged patients, the number of admissions per 100 outpatient and emergency service, and the bed utilization rate were used to measure the efficiency of medical services, and the DID method was used to explore the impact of DRG policy on the efficiency of medical services. Results: Baseline regression results and robustness verification showed that the implementation of DRG policy can significantly improve medical service efficiency, and it was found that medical service efficiency is improved by reducing medical expenses. However, the impact of DRG policy on medical service efficiency has a marginal effect and the improving effect is not long-lasting. Conclusion: The DRG policy can improve the efficiency of medical services. It is suggested to focus on improving the efficiency of medical services and enhancing the quality of medical services under the DRG payment method reform, emphasize the long-term coherence of DRG’s policy effects and strengthen regulatory efforts, improve DRG supporting measures and optimize the allocation of medical resources, and give full play to the advantages of DRG and promote the construction of medical consortia.
关键词
DRG政策 /
医疗服务效率 /
双重差分模型
Key words
DRG policy /
medical service efficiency /
DID model
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