| 摘要: |
| 目的
对补偿机制改革前后江苏省县级中医医院产出效率进行评价，并考察导致效率变化的相关因素。方法 随机前沿分析方法分析县级中医医院产出效率，Tobit回归方法分析不同影响因素对产出效率的影响。结果 江苏省县级中医院产出效率较低，补偿机制改革导致县级中医院效率出现进一步下降；费用模型、支出模型和收入模型的回归分析表明不同因素对县级中医院产出效率的影响。结论 优化县级中医院补偿策略，调整收支结构，加大中医医疗服务补偿力度。 |
| 关键词: 补偿机制改革 中医医院 随机前沿分析 Tobit回归方法 |
| DOI： |
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| 基金项目: |
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| Study on the Influence of the Reimbursement Mechanism on the Output Efficiency: Based on County-Level Traditional Chinese Medicine Hospitals |
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| Abstract: |
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Objective
To evaluate the traditional Chinese medicine(TCM) output efficiency of the county-level TCM hospitals in Jiangsu Province before and after the reimbursement mechanism reform, and to analyze the factors which affect the efficiency of county-level TCM hospitals. Methods Using DEA to analyze the efficiency of county TCM hospitals，and using the Tobit regression to analyze the influence factors. Results The output efficiency of county-level TCM hospitals in Jiangsu Province is low，the reimbursement mechanism reform in county-level hospitals of TCM efficiency further decreases；payment model，cost model and revenue model of regression analysis indicate that different factors has different influence on output efficiency of county hospitals of TCM. Conclusion The reimbursement strategy of county-level TCM hospitals should be optimized， the balance of revenue and expenditure structure be adjusted，and the intensity of TCM services reimbursement be increased. |
| Key words: compensation mechanism reform,traditional Chinese medicine hospital,Stochastic Frontier Analysis,Tobit Regression |
