【摘要】 医疗改革经纵深发展,需要细致考量"公""私"关系。论文从公共服务供给理论出发,构建2010—2016年我国省级面板数据,研究医疗服务供给结构变化是否带来服务效率提升的问题。研究发现,民营医疗服务比重增加改善了区域医疗供给绝对效率,作为医疗服务供给主体的医院提高了供给能力,从侧面说明我国医疗服务领域多元化改革实现了提高供给能力的目标。研究同时发现,一级医院中民营医疗比重的提升对服务绩效改进具有显著作用。因此,建议医疗供给侧促进多元化办医的改革以一级医院为推荐重点,大力提升其普遍服务能力。更多还原

【Abstract】 The development of medical reform in depth requires careful consideration of"public"and "private"relations. Based on the theory of public service supply,this study constructed the 2010-2016 China Provincial panel data in order to consider whether changesto the medical service supply structure brought about improved service efficiency. The study found that private medical serviceswere improved in terms of absolute efficiency and efficiency of regional medical supply. Furthermore,hospitals,as the main bodies of medical services,improved their supply ability,and the pluralistic reform of medical services in China realized the goal of improving supply abilities. The study also found that the promotion of private medical care in first level hospitals had a significant effect on the improvement of service performance. Therefore,it is suggested that the supply-side reform directed towards the mix of multi ownership forms should focus on first-level hospitals and promote their capabilities of providing universal services.更多还原