政府公立医院财政专项补助对居民医疗费用负担的影响——基于某市23家三级医疗机构的分析

以基本建设或设备购置等方式注入公立医院的财政专项补助,能够在一定程度上分担公立医院发展投入方面的资金压力,减轻患者的医疗费用负担.为验证上述假设,基于某市23家三级医疗机构的数据,建立面板数据模型.实证研究发现:财政专项补助的增加会降低患者的医疗费用负担,相比之下,门诊医疗费用负担受财政专项补助的影响更为明显.财政专项补助通过分担公立医院部分成本而影响医院提供服务的行为,进而有利于降低患者的医疗费用负担.

Impact of itemized subsidies on medical expenditure burden in public hospitals: Analysis of data on 23 medical institutions

To a certain extent, itemized government subsidies to public hospitals, primarily used for hospital infrastructure and large equipment investments, can alleviate the financial pressure of development expenditures and thus reduce the medical expenditure burden on patients. To test the hypothesis, the panel data method has been adopted based on the data of 23 tertiary hospitals. Empirical results find that: (1) increases in itemized subsidies will reduce the burden of medical expenses on patients; (2) conversely, the impact of itemized subsidies on outpatient medical expenses is more significant. By sharing a portion of public hospital expenses and impacting hospital service providing behavior, itemized subsidies help to reduce the burden of medical expenses on patients.