贵宾医疗服务是否会损害效率? 医疗机构总因子生产率的新证据使用中国面板数据
Yan Yang1, Mingwang Cheng1, Ning Chen2
1School of Economics and Management, Tongji University, Shanghai, China.
Frontiers in public health
|February 8, 2024
概括
非常重要的人 (VIP) 医疗服务会对医院的效率产生负面影响,降低总因素生产率. 标准化VIP护理和优化资源分配对于改善整体医疗质量和减轻健康不平等至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 医院管理 医院管理
背景情况:
- 非常重要的人 (VIP) 医疗服务在各种医疗保健系统中实施.
- 贵宾服务对整体医院生产力和效率的影响仍未得到充分研究,特别是在发展中国家.
研究的目的:
- 调查VIP医疗服务与医院总因子生产率之间的因果关系.
- 为实施VIP医疗实践提供经验证据和政策建议.
主要方法:
- 使用了从92个医疗机构获得的二次不平衡面板数据集 (2015-2020) 的两阶段策略.
- 使用全球马尔姆奎斯特指数计算出总因子生产率.
- 采用双向固定效应,托比特模型和仪器变量来评估VIP服务对医院效率的影响.
主要成果:
- 贵宾医疗服务对医疗机构的效率产生了重大负面影响.
- 负面影响与技术进步和VIP医疗保健中的纯技术效率有关.
- 根据医院类型和外部环境因素观察到影响异质性.
结论:
- 医疗机构必须对VIP医疗服务进行标准化.
- 优化管理,服务流程和资源配置可以减轻负面影响.
- 加强医疗人员的培训和平衡VIP与一般服务需求对于公平,高质量的医疗保健至关重要.
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