医药分开综合改革对公立医院经济运行质量的影响：以医疗费用为中介变量

目的:以医疗费用为中介变量,实证研究医药分开综合改革对医院经济运行质量的影响路径。方法:运用回归分析、中介效应检验验证医药分开综合改革与医院经济运行质量的相关关系以及医疗费用的中介作用。结果:药品收入、医院服务收入、财政补助收入分别与医疗费用及医院经济运行质量呈正相关,医疗费用在药品收入与医院总收入间起中介作用,在财政补助收入与医院资产负债率间起中介作用,在财政补助收入与医院总收入间起部分中介作用。结论:医药分开综合改革通过医疗费用间接影响医院总收入。合理调整医疗服务价格,理顺患者医疗费用结构、加大财政补助投入是改变医药分开综合改革对医院总收入影响的关键环节。

The Influence of Medical separation policy on the quality of economic operation in public hospitals -- medical expenses as intermediary variables

Objective: To study the influence route of medical separation policy on the quality of hospital economic operation by using medical expenses as an intermediary variable. Methods: regression analysis and intermediary effect test were used to verify the relationship between the policy of separating medicine and the quality of hospital economic operation ,the intermediary role of medical expenditure. Results: the drug income and hospital service income, financial subsidy income were positively correlated with the quality of economic operation and hospital medical expenses, medical expenses plays an intermediary role in the total income of drug income and hospital, in the hospital financial subsidy income and asset liability ratio play an intermediary role between, the mediating effect of financial subsidy income and total income in the hospital between. Conclusion: the medical separation policy indirectly affects the hospital revenue through medical expenses. Reasonable adjustment of medical service price, straightening out the medical expenditure structure and increasing financial input are the key links to change the policy of separating medicine from the total income of the hospital