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目的:研究实施医疗保险信用等级制度对医院经营行为的规范及约束作用。方法:以定点医院经济和工作量为指标,建立ARMA模型,比较该制度实施前后医疗保险管理机构对定点医院经济约束作用的变化。结果:A信用等级医院的经济收入和工作量指标均明显增长,B和C信用等级医院相关指标出现下降,C等级医院降幅最大。结论:实施信用等级评价制度对医院经济收入和工作量均有显著影响,对医院有较强的经济约束作用。
Objective: To study how to regulate and restrict the operation of hospitals by implementing the credit rating system of medical insurance. Methods: Based on the fixed-point hospital’s economy and workload as an indicator, ARMA model was established to compare the changes of the financial constraints of medical institutions before and after the implementation of the system. Results: The hospital’s economic income and workload indicators of A-credit rating hospitals both increased significantly while the relevant indexes of B and C credit rating hospitals declined while C-rated hospitals saw the largest decrease. Conclusion: The implementation of the credit rating system has a significant impact on the hospital’s economic income and workload, the hospital has a strong economic constraint.