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私有化是否降低了中国医院部门的结构效率?

Does privatization decrease the structural efficiency in the Chinese hospital sector?

作者信息

He Xinju, Liu Yi

机构信息

School of Business, Guangxi University, Nanning, 530004, China.

Key Laboratory of Interdisciplinary Science of Statistics and Management, Education Department of Guangxi, Guangxi University, Nanning, China.

出版信息

Health Econ Rev. 2025 Jan 31;15(1):5. doi: 10.1186/s13561-024-00568-6.

DOI:10.1186/s13561-024-00568-6
PMID:39890675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11786494/
Abstract

This paper examines the resource mismatch in China's healthcare sector from 2010 to 2019. We use structural efficiency to measure the resource mismatch in the healthcare industry (0.2-0.7). We find that an increase in the proportion of private hospitals decreases the healthcare resource mismatch across provincial regions. This ameliorative effect is evident in non-coastal as well as central provinces. In addition, we also find that an increase in the proportion of private hospitals leads to a greater supply of healthcare resources and the number of healthcare services, which in turn better meets the healthcare needs of local residents and decreases the healthcare resource mismatch between regions in each province.

摘要

本文考察了2010年至2019年中国医疗行业的资源错配情况。我们用结构效率来衡量医疗行业的资源错配程度(0.2 - 0.7)。我们发现,私立医院比例的增加会减少省级区域间的医疗资源错配。这种改善作用在非沿海省份以及中部省份都很明显。此外,我们还发现,私立医院比例的增加会带来更多的医疗资源供应和医疗服务数量,进而更好地满足当地居民的医疗需求,并减少各省区域间的医疗资源错配。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11786494/ed42032f7a34/13561_2024_568_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11786494/ed42032f7a34/13561_2024_568_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11786494/ed42032f7a34/13561_2024_568_Fig1_HTML.jpg

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本文引用的文献

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The association of hospitalist medical procedure service with operational efficiency at an academic medical center.学术医疗中心内科住院医师医疗程序服务与运营效率的关联
J Hosp Med. 2024 Dec;19(12):1155-1159. doi: 10.1002/jhm.13484. Epub 2024 Aug 18.
2
Assessing triage efficiency in Italy: a comparative study using simulated cases among nurses.评估意大利的分诊效率:一项在护士中使用模拟病例的比较研究。
Intern Emerg Med. 2024 Aug 6. doi: 10.1007/s11739-024-03735-z.
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Artificial Intelligence in Operating Room Management.人工智能在手术室管理中的应用。
J Med Syst. 2024 Feb 14;48(1):19. doi: 10.1007/s10916-024-02038-2.
4
Investment and quality competition in healthcare markets.医疗保健市场中的投资与质量竞争。
J Health Econ. 2022 Mar;82:102588. doi: 10.1016/j.jhealeco.2022.102588. Epub 2022 Jan 14.
5
Patient Self-Reported Health, Clinical Quality, and Patient Satisfaction in English Primary Care: Practice-Level Longitudinal Observational Study.英国初级医疗中患者自我报告的健康状况、临床质量和患者满意度:实践层面的纵向观察性研究
Value Health. 2021 Nov;24(11):1660-1666. doi: 10.1016/j.jval.2021.05.019. Epub 2021 Sep 10.
6
Does integrated medical insurance system alleviate the difficulty of using cross-region health Care for the Migrant Parents in China-- evidence from the China migrants dynamic survey.中国综合医疗保险制度是否缓解了农民工父母跨区域就医的困难——基于中国流动人口动态监测调查的证据。
BMC Health Serv Res. 2021 Oct 5;21(1):1053. doi: 10.1186/s12913-021-07069-w.
7
Hospital competition in a national health service: Evidence from a patient choice reform.在国家卫生服务体系中进行医院竞争:来自患者选择改革的证据。
J Health Econ. 2021 Sep;79:102509. doi: 10.1016/j.jhealeco.2021.102509. Epub 2021 Jul 23.
8
Structured interdisciplinary bedside rounds improve interprofessional communication and workplace efficiency among residents and nurses on an inpatient internal medicine unit.结构化的跨学科床边查房可提高住院内科病房住院医师和护士之间的专业间沟通和工作场所效率。
J Interprof Care. 2024 May-Jun;38(3):427-434. doi: 10.1080/13561820.2020.1863932. Epub 2021 Jan 12.
9
Hysteresis - or the mismatch of expectations and possibilities among relatives in a transforming health care system.滞后现象——或者说在一个不断变革的医疗保健系统中,亲属之间期望与可能性的不匹配。
Health Sociol Rev. 2020 Mar;29(1):31-44. doi: 10.1080/14461242.2019.1704425. Epub 2019 Dec 24.
10
The impacts of private hospital entry on the public market for elective care in England.私立医院进入对英格兰择期医疗公共市场的影响。
J Health Econ. 2020 Sep;73:102353. doi: 10.1016/j.jhealeco.2020.102353. Epub 2020 Jul 9.