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目的:规范医疗行为,控制医疗费用,优化诊疗技术。方法:应用倍差法比较干预政策对政策作用对象和非政策作用对象的效果随时间的变化。结果:医疗行为有所规范;医疗费用有所下降;医务人员积极性得以调动。结论:医疗机构实施临床路径管理、政府部门改革补偿机制与信息化监管三项改革捆绑式同步推进是成本不高、效果明显的政策选择。
Objectives: To standardize medical behaviors, control medical expenses and optimize treatment techniques. Methods: The difference between the effect of intervention policy on the role of the policy object and the non-policy object was compared with the change of the time using the multiple-difference method. Results: The medical behaviors were regulated; the medical expenses decreased; and the enthusiasm of medical workers was mobilized. Conclusions: The three types of reforms, namely clinic path management, government compensation reform and informatization supervision, are the bundled and simultaneous promotion of medical institutions with low cost and obvious effect.