#br# 药交所试点背景下人均医疗费用的影响因素研究

本文采用固定效应模型建立人均医疗费用影响因素的一般模型，并通过引入药交所虚拟变量和考察医生收入的中介效应进一步阐释该模型。研究结果表明，诱导需求与医院规模对人均医疗费用均有显著影响；药交所政策降低了人均医疗费用，但医生收入中介效应的存在使得部分医疗资源被浪费。本文提出了控制人均医疗费用的政策建议：增加医院与卫生院的数量；合理调整医务工作者内部结构；倡导医生自由执业并提供保障；合理增加医生收入。

DETERMINANTS OF THE MEDICAL EXPENDITURES PER CAPITA: STUDY ON THE CHONGQING MEDICAL EXCHANGE

This research utilizes the fixed effect model to analyze the determinants of the medical expendituresThe dummy variables are introduced to represent the Medical Exchange, and the income of doctors is introduced as mediator variables such that the effect of doctors would be revealedThis research demonstrates that the Chongqing Medical Exchange reduces the medical expenditures per capita indeedNonetheless, this policy may backfire because of the mediating effect of the revenue of doctorsBased on these studies, this paper puts forward policy recommendations to control the medical expenditures per capita: increasing the number of hospital, adjusting the internal structure of the medical workers, and advocating and ensuring Physician practice, and increasing doctors income reasonably.