近日，国家发展研究院李玲教授、博士生傅虹桥、硕士校友杨春雨与哈佛大学公共卫生学院William Hsiao教授、李明强博士（国发院硕士校友）的合作论文“An Evaluation of Systemic Reforms of Public Hospitals: the Sanming Model in China”被Health Policy and Planning接受，即将发表。Health Policy and Planning由Oxford University 出版社出版，致力于发表卫生经济、卫生政策和卫生体系的相关研究文章，是卫生经济与政策领域的重要国际期刊，是SCI和SSCI来源期刊。

文章简介：

利用福建省公立医院的数据，本文用双重差分评估了三明医改的效果。结果发现，在没有降低医疗服务提供量和医疗质量的前提下，三明医改显著降低了医疗费用特别是药品费用。文章认为，相比于以往单一化的公立医院改革措施，三明医改的系统性做法（同时改革医院治理结构、价格体系与医生薪酬体系）取得了预期的效果，对中国和其他国家公立医院改革具有启示意义。

Abstract: Low- and middle-income countries (LMICs) have been searching for effective strategies to reform their inefficient and wasteful public hospitals. Recently, China developed a model of systemic reforms called the Sanming model to address the inefficiency and waste at public hospitals. In this paper, we explain and evaluate how the Sanming model reformed its 22 public hospitals in 2013 by simultaneously restructuring the hospital governance structure, altering the payment system to hospitals, and realigning physicians’ incentives. By employing the difference-in-difference (DID) method and using the hospital-level data from 187 public hospitals in Fujian province, we find that the Sanming model has reduced medical costs significantly without measurably sacrificing clinical quality and productive efficiency. The systemic reform, on average, has reduced the medical care cost per outpatient visit and per inpatient admission by 6.1 percent (p-value =0.0445) and 15.4 percent (p-value < 0.001) respectively. It is largely accomplished through a decrease in drug expenditures per outpatient visit and per inpatient admission of about 29 percent (p-value <0.001) and 53 percent (p-value < 0.001). These results show that the Sanming model has achieved at least a short-term success in improving the performance of the public hospitals. These findings suggest that such a systemic transformation of public hospitals, where the governance structure, payment system and physician compensation methods are aligned, are crucial to improving their performance; it holds critical lessons for China and other LMICs.

稍早，李玲教授和博士生傅虹桥的合作论文“Chinese Healthcare system reform: progress and prospects” 被卫生经济管理与政策的国际性期刊The International Journal of Health Planning and Management接受，即将发表。The International Journal of Health Planning and Management由Wiley公司出版，致力于发表医疗卫生政策和管理相关问题的理论和实证研究，是SSCI来源期刊。