通讯作者: 雷海潮, leihc@bjchfq.gov.cn

DOI：10.12201/bmr.202010.00846

Evaluation Research on Efficiency and Accessibility of Comprehensive Reform of Linkage between Medical Services and Medical Supplies in Beijing

• 摘要：目的：评价北京医耗联动综合改革的效率与可及性。方法：以评价指标集为基础，运用描述性统计结合“投射-实施后”对比分析法，对各项指标进行分析。结果：北京医耗联动综合改革实施六个月后，医疗服务效率提高，各级医疗机构手术人次显著增加，二、三级医疗机构平均住院日缩短；收入结构趋于合理，技术劳务收入占比明显提高，卫生材料收入占比下降；分级诊疗建设取得一定进展，基层医疗机构门急诊人次占比增加；基层医疗服务进一步改善，基层慢病长处方和缺药登记服务人次增长迅速；患者就医负担有所减轻，但出院病人次均CT核磁检查费略有增长。结论：北京医耗联动综合改革的实施提升了医疗服务的效率与可及性，但仍存在改进空间。建议进一步规范大型医用设备配置使用，促使医疗机构大型医用设备检查收入降低；实施促进、改善和引导三举措，进一步加强分级诊疗建设；深化医保制度和集中采购政策改革，努力减轻患者就医负担。

  关键词： 效率；可及性；“投射-实施后”对比分析法；北京医耗联动综合改革; ; ; 

   

  Abstract: Objective: To evaluate the efficiency and accessibility of comprehensive reform of linkage between medical services and medical supplies in Beijing. Methods: Based on the evaluation indicators set, descriptive statistics combined with projection after-implementation comparative analysis method was used to analyze the indicators. Results: Six months after the implementation of comprehensive reform of linkage between medical services and medical supplies in Beijing, the efficiency of medical services was improved, and the number of surgeries in medical institutions of all levels increased significantly, the average discharge days of secondary and tertiary medical institutions were shortened; the income structure tended to be reasonable, the proportion of technical labor income increased significantly, and the proportion of medical materials income decreased; the construction of tiered diagnosis and treatment made certain progress, the proportion of outpatient and emergency patients in primary medical institutions increased; primary medical services were further improved, and the number of patients with chronic diseases and long prescriptions and drug shortage registration services increased rapidly; the medical burden of patients was reduced, but the cost of CT and MRI examination per discharged patients increased slightly. Conclusion: The implementation of the reform policy has improved the efficiency and accessibility of medical services, but there is still room for improvement. It is suggested that the allocation and use of large medical equipment should be further standardized to reduce the inspection income of large medical equipment in medical institutions; implement three measures of promotion, improvement and guidance to further strengthen the construction of hierarchical diagnosis and treatment; deepen the reform of health insurance system and centralized procurement policy, and strive to reduce the medical burden of patients.

  Key words: Efficiency; Accessibility; Projection after-implementation comparative analysis method; The comprehensive reform of linkage between medical services and medical supplies in Beijing

  提交时间：2021-02-03

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
• html

• 图表

• 许光建, 乔羽堃. 我国医疗服务价格调整与医保支付方式改革的联动机制研究. 2021. doi: 10.12201/bmr.202104.00018

  魏景明, 高奇隆, 黄敏卓, 董恒进. 基于DEA模型的浙江省县域医共体运行效率研究. 2021. doi: 10.12201/bmr.202005.00252

  白玲. 北京地区医疗机构互联网便民惠民移动应用测评研究. 2020. doi: 10.12201/bmr.202007.00017

  芦欣怡, 王亚东. 医疗卫生行业综合监管制度体系构建——基于扎根理论的质性分析. 2021. doi: 10.12201/bmr.201910.00001

  孙华君, 张萌, 刘昭, 申斗, 赵琨, 窦勇, 冯世强, 刘跃华. 县域医共体改革进展情况分析及政策建议——基于2019年200家县级医院的调研. 2020. doi: 10.12201/bmr.202007.00021

  李琦, 袁蓓蓓, 何平, 马晓晨, 孟庆跃, 徐进. 英国“购买与提供分开”下的健康服务整合改革及启示. 2020. doi: 10.12201/bmr.202004.00029

  于凌云, 于梦迪. 城乡居民医保基金运行效率及其影响因素研究. 2021. doi: 10.12201/bmr.202109.00035

  于亚航, 孔晨, 袁蓓蓓. 医疗卫生服务体系整合型改革对医务人员工作动机及行为影响的系统综述. 2021. doi: 10.12201/bmr.202011.00017

  朱妍昕, 曹洪欣. 面向高等医药院校本科学生的医学信息学课程改革. 2021. doi: 10.12201/bmr.202105.00009

• 序号	提交日期	编号	操作
  1	2020-10-27	bmr.202010.00846V1	下载

• 公开评论  匿名评论  仅发给作者 提交评论