| 政府补偿与监管机制改革对医疗服务的影响分析 |
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| 引用本文： | 贾媛,蒋小华,薛迪,高宏,涂诗袁. 政府补偿与监管机制改革对医疗服务的影响分析[J]. 中国医院管理, 2014, 0(1): 15-19 |
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| 作者姓名： | 贾媛 蒋小华 薛迪 高宏 涂诗袁 |
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| 作者单位： | [1]复旦大学公共卫生学院·国家卫生和计划生育委员会卫生技术评估重点实验室,上海200032 [2]上海市闵行区卫生和计划生育委员会,上海201199 |
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| 摘 要： | 目的分析政府补偿与监管机制改革前后上海市闵行区公立医疗卫生机构的医疗卫生服务状况的变化，探索研究政府补偿与监管机制改革对医疗卫生机构运行绩效的影响。方法进行机构调查和二手资料分析。结果改革后，闵行区公立医疗机构医疗服务数量不断增加．服务质量保持在较高水平，服务效率有所改进，医疗费用得到控制；综合性医院和社区卫生服务中心的服务质量和费用控制均优于上海市平均水平。结论政府补偿与监管机制改革在一定程度上提高了闵行区公立医疗卫生机构医疗服务的绩效。
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| 关 键 词： | 医疗卫生机构 补偿 监管 医疗服务 |
Impact of Government Compensation and Regulatory Mechanism Reform on Medical Services |
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| Affiliation: | School of Public Health, Fudan University/Key Laboratory of Health Technology Assess-ment, National Commission of Health and Family Planning, Shanghai, 200032, China |
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| Abstract: | Objective To analyze the changes of health services provided by public medical institutions before and after government compensation and regutatop/mechanism reform in Minhang District in Shanghai City, and to explore the im- pact of government compensation and regulatory mechanism reform on public medica! services. Methods Doing secondary data analysis and institutional survey. Results After reform, quantity of medical services increases steadily, quality of medical services maintains at a high level, service efficiency is improved, and medical costs are also under control in Minhang District. Comprehensively, the service quality and cost control of public medical institutions are superior to the average level of Shanghai. Conclusion Government compensation and regulatory mechanism reform in Minhang District has improved the medical services performance. |
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| Keywords: | medical institution compensation regulatory medical service |
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