北京大学学报（医学版）Issue(3)：459-463,5.DOI:10.3969/j.issn.1671-167X.2015.03.017
门诊服务对住院服务替代效应的实证分析
An empirical analysis on the substitution effect of outpatient services on inpatient services
摘要
Abstract
Objective:To study the substitution effect of outpatient services on inpatient services and provide suggestions on designing outpatient policies. Methods:The data were from 13 districts/counties in one area of eastern China from 2007 to 2013 for the new cooperative medical scheme. This study em-ployed a fixed effects model to analyze the impacts of outpatient visit times, expenditure amounts and re-imbursements on inpatient services. Results: One outpatient visit reduced the total amount of inpatient services by 20 Yuan. An increase of 10 000 Yuan outpatient reimbursements saved 9 700 Yuan inpatient expenses. An increase of 10 000 Yuan outpatient expenses led to a decrease of 3 000 Yuan inpatient re-imbursements. The outpatient services did not increase the inpatient hospitalization times significantly. In particular, the effects of the outpatient services were mainly on the inpatient services at the district/coun-ty levels, and no significant impacts on the outpatient services at the city levels. Conclusion:There is a substitution effect of outpatient services on inpatient services. The health insurance departments should take this substitution effect into account and shift more funds on outpatient series, when they design out-patient and inpatient reimbursement policies.关键词
门诊服务/住院服务/保险/报销政策/新型农村合作医疗Key words
Outpatient services/Inpatient services/Insurance/Reimbursement policy/New coopera-tive medical scheme分类
医药卫生引用本文复制引用
简伟研,方海..门诊服务对住院服务替代效应的实证分析[J].北京大学学报（医学版）,2015,(3):459-463,5.基金项目
国家自然科学基金(71373013)资助Supported by the National Natural Science Foundation of China (71373013) （71373013）
