通讯作者: 周彩, ppzhoucai@163.com

DOI：10.12201/bmr.202106.00020

Family doctor contract service: economic performance or health performance

• 摘要：家庭医生旨在于转变基层医疗卫生服务模式，强化基层医疗卫生服务网络，合理优化医疗资源配置和维护人民群众的健康，但家庭医生对于居民健康与医疗费用经济负担的影响和作用尚不明确。研究对既有研究进行回顾与梳理基础上利用CHARLS2018年微观调查数据实证检验了家庭医生签约服务的经济绩效和健康绩效。研究发现，家庭医生签约服务能使居民的健康水平显著提升，但对于医疗总费用支出和个人医疗负担的影响不显著。这一结论通过替换核心解释变量、考虑内生性问题等稳健性检验后依然成立。进一步研究表明，家庭医生签约对于不同年龄、户籍、慢性病人群和残疾人的健康促进存在差异，对于医疗经济负担的影响仍不明显。该结论对于帮助我们重新审视和优化家庭医生签约制度具有借鉴意义。

  关键词： 家庭医生; 绩效; 健康; 经济负担; 实证分析

   

  Abstract: The purpose of family doctors is to change the grass-roots medical and health service model, strengthen the grass-roots medical and health service network, reasonably optimize the allocation of medical resources and maintain peoples health. However, the impact and role of family doctors on Residents health and the economic burden of medical expenses are not clear. On the basis of reviewing and combing the existing studies, the study empirically tested the economic performance and health performance of family doctors contracted services by using the micro survey data of charls2018. The study found that the contracted services of family doctors can significantly improve the health level of residents, but it has no significant impact on the total medical expenses and personal medical burden. This conclusion is still valid after robustness tests such as replacing core explanatory variables and considering endogenous problems. Further studies show that family doctor contract has different effects on health promotion of different age, registered residence, chronic patient group and disabled people, and the impact on medical economic burden is not obvious. This conclusion can be used for reference to help us re-examine and optimize the family doctor signing system.

  Key words: family doctor; achievements; healthy; Economic burden; Empirical analysis

  提交时间：2021-10-08

  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。
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• 序号	提交日期	编号	操作
  1	2021-06-25	bmr.202106.00020V1	下载

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