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目的:研究我国住院医疗费用的决定因素。方法:收集2004年到2006年我国东部和西部典型地区16个县(市、区)18家医院数据,进一步匹配医院的市场条件,利用固定效应回归模型进行实证分析。结果:政府财政补贴有助于降低患者支付的住院医疗费用,而医生的奖金激励是推高医疗费用的一个显著因素;住院医疗费用受到市场供求因素的显著影响。结论:“补供方”和发展公立医院应该是医疗改革的一个探索方向;随着人们医疗需求的提高,医疗市场的整体供给不足仍然是看病贵的一个重要因素。
Objective: To study the determinants of hospitalization expenses in China. Methods: The data of 18 hospitals in 16 counties (cities and districts) in the eastern and western typical areas of China from 2004 to 2006 were collected to further match the market conditions of the hospitals. The fixed-effect regression model was used to analyze the data. Results: The government subsidy helps to reduce the hospitalization cost paid by the patients, and the doctor’s bonus incentive is a significant factor pushing up the medical expenses; the hospitalization medical expenses are significantly affected by the market supply and demand factors. Conclusion: “Supplementary prescriptions” and the development of public hospitals should be an exploration direction of medical reform. With the improvement of people’s medical needs, the overall shortage of medical markets is still an important factor in seeking medical care.