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公立医疗机构比私立医疗机构更利他吗?

姚瑶 刘斌 刘国恩 臧文斌

经济与管理研究Issue(4):94-103,10.
经济与管理研究Issue(4):94-103,10.

公立医疗机构比私立医疗机构更利他吗?

Is the Public Medical Sector More Altruistic Than the Non-Public Counterpart?

姚瑶 1刘斌 2刘国恩 3臧文斌1

作者信息

  • 1. 西南财经大学公共管理学院博士研究生,成都市,611130
  • 2. 重庆工商大学经济学院,重庆市,400067
  • 3. 北京大学国家发展研究院,北京,100871
  • 折叠

摘要

Abstract

This paper studies the altruism of the government-owned medical institutions,by examining the impact of medical institution ownership on outpatient costs,medication costs and their respective out-of-pocket ratio of the new rural cooperative medical insurance (NCMI)beneficiaries.The empirical evidence shows that:(1 )public grassroot medical facilities increase outpatient costs and out-of-pocket medical expenses significantly,suggesting that public medical grassroot facilities seek economic profit through non-pharmaceutical methods by taking advantage of NCMI;(2)outpatients have more medical reimbursements in public grassroot medical facilities.These conclusions do not satisfy the altruism hypothesis in public medical sector.So it’s important to deepen medical reform to develop non-public medical sector and improve patients’welfare.

关键词

公立医疗机构/利他性/医疗费用/Two-part Model

Key words

public medical institution/altruism/medical expenses/two-part model

分类

管理科学

引用本文复制引用

姚瑶,刘斌,刘国恩,臧文斌..公立医疗机构比私立医疗机构更利他吗?[J].经济与管理研究,2015,(4):94-103,10.

经济与管理研究

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