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目的:探讨农村医疗机构门诊服务质量的影响因素,为医疗机构门诊服务质量提升提供依据。方法:利用宁夏回族自治区2012年医疗支付制度创新数据,采用分位数回归模型对农村医疗机构门诊服务质量的影响因素进行筛选。结果:调查地区门诊服务质量的平均得分为24.97分,支付制度改革县和非改革县之间的差别具有显著性,支付制度改革县的得分高于非改革县;分位数回归结果显示支付制度改革对门诊服务质量的影响具有稳健性,在不同分位点的回归中的影响均具有显著性;其他因素的影响则在不同分位数回归中的表现不尽一致。结论:分位数回归可以描述自变量对因变量分布不同位置的不同影响,可以提供更为丰富的信息。医疗支付制度改革可以显著提升农村地区的门诊服务质量。
Objective: To explore the influencing factors of outpatient service quality in rural medical institutions, and to provide the basis for improving the outpatient service quality in medical institutions. Methods: Using the innovative payment data of Ningxia Hui Autonomous Region in 2012, quantile quantile regression model was used to screen the influencing factors of outpatient service quality in rural medical institutions. Results: The average score of outpatient service quality in the survey area was 24.97 points. The difference between the reforming counties and non-reforming counties was significant. The pay reform counties had higher scores than non-reforming counties. The quantile regression results showed that the payment system The impact of reform on the quality of outpatient service is robust, and the impact of the reform is significant in the regression of different sub-loci. The effects of other factors are not consistent in different quantile regression. CONCLUSIONS: Quantile regression can characterize the different effects of independent variables on different locations of the dependent variable distribution and provide richer information. The reform of medical payment system can significantly improve the outpatient service quality in rural areas.