Objective The purpose of the study on the one hand is to see different hospital organization commitment have difference, including the overall score and various dimensions, on the other hand, due to the different hospital type, its function orientation is different, the factors of the doctor organization commitment may also exist differences, so the study of another purpose is to determine for different types of hospital doctor organization commitment the focus and key groups, provide reference for the doctor incentive strategy. Methods A total of 292 doctors in four large public hospitals in Beijing were investigated. Physicians’ perceived organizational commitment was investigated using self-made electronic questionnaires. Data were analyzed by factor analysis, descriptive statistics, t-test, ANOVA, and multiple linear regression. Results In the large public hospital doctor perception of the hospital commitment status, Specialized hospitals had higher overall commitment behavior scores, it is 3.47 ± 0.86; General hospital commitment behavior scored low at 3.39 ± 0.91. In the regression results, department category, working years, administrative position, and entry mode are the influencing factors of the organizational commitment of doctors in general hospitals, while in specialized hospitals, in addition to whether to hold an administrative position, entry mode, and working hours, the influencing factors also include gender, professional title and overseas learning background. Conclusion There are differences in the perceived organizational commitment by doctors in different types of public hospitals, and different factors influencing their organizational commitment.Hospital type directly influences physicians’ organizational commitment and plays a moderating role in influencing other factors. A possible solution is general hospital specialization, encouraging general hospitals to develop the dominant discipline. These findings can help healthcare service hospital executives or government policymakers understand the impact of hospital specialization strategies and develop more efficient medical staff incentive systems.

目的:分析我国省域间中医类医疗服务价格差异水平.方法:微观上,单个项目价格水平采用描述性统计分析方法;宏观上,省域总体价格水平引入绝对价格差异评分和相对价格差异评分.结果:84％的中医类项目价格在省域间变异系数小于0.7;75％的省份相对价格水平与省域价区差异1个等次以内.结论:中医类医疗服务价格在各个省份间的差异程度总体可控,但部分价格差异很大的项目、与价区严重不匹配的省份亟待动态调价.

目的 评价十三五期间北京市精神卫生资源配置效率变化,为优化北京市精神卫生资源配置提供依据.方法 采用DEA方法中的BCC模型和Malmquist指数模型对北京市精神卫生资源分别进行静态和动态分析.结果 2019年北京市仅有5个行政区实现DEA有效,综合效率均值为0.673,纯技术效率为0.882,规模效率为0.760;生态涵养区综合效率最高,平原山区新城次之、中心城区与城市副中心功能区最低;2015-2019年间北京市精神卫生资源配置全要素生产率均值为1.080,技术进步率是卫生资源配置的效率提升主要动力.结论 总体上看,十三五期间北京市精神卫生资源配置效率有所提高,整体水平仍有待提升,资源配置综合效率地区空间分布差异明显,资源冗余与资源匮乏共存,各功能区资源配置全要素生产率存在差异,平原山区新城效率最低.建议加大财政投入与支付转移,缩小区间差异,合理调配资源,避免盲目投入,据各功能区定位,全面提高精神卫生资源配置效率.

文章通过收集相关政策文件与文献,以项目形式对国内精神障碍患者救治救助工作现状进行梳理,从财政来源、对象、形式3个层面分析我国救治救助现存问题并提出相应对策,为进一步完善我国严重精神障碍患者救助策略提供依据.

目的:探究居民就医行为的影响因素并提出对策建议,为促进居民就医行为合理化、推进分级诊疗制度建设提供依据.方法:利用2015年中国健康与营养调查(CHNS2015)数据,通过卡方检验和逻辑回归分析,探究居民就医意愿和就医选择的影响因素.结果:地区、医保类型和居民健康状况会影响居民的就医意愿,婚姻状况、年龄和地区会影响居民对医疗机构的选择.结论:居民就医行为受个人特征和政策因素的影响,因此既要引导居民养成良好的就医习惯,同时应进一步完善医保政策,以促进分级诊疗健康发展.