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1127整合型照护有助于提高医疗服务效率，其成为控制医疗费用过快增长的重要途径。文章利用“认知友好社区”试点，考察这一针对慢性病防治的整合型照护模式对医疗服务利用的影响，并进行福利分析。文章使用某典型城市的老年照护统一需求评估、医保账户等数据，采用双重差分的方法，研究发现“认知友好社区”试点会使失能老人住院概率降低3%。进一步结合长期护理保险制度以及相关的异质性分析，研究发现“认知友好社区”试点对男性、城镇职工医疗保险参保人、中重度失能人群住院次数的影响更为明显。文章的影响机制是通过信息效应改善健康行为和跨部门照护资源协作来提高照护质量。最终福利分析发现，“认知友好社区”试点不仅提高失能老人的健康水平，且具有较好的经济效应。文章研究表明，促进以社区为重点的整合型照护模式发展具有推广示范作用，未来应大力推广跨部门协作。文章结论对于解决老龄化问题和医疗服务体系改革具有一定的参考意义。
整合型照护与医疗费用控制——基于“认知友好社区”试点的研究
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余央央, 翟颖, 张毅. 整合型照护与医疗费用控制——基于“认知友好社区”试点的研究[J]. 财经研究, 2024, 50(6): 64-78.
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