作　者：孟颖颖 张康
关键词：互联网普及；医疗费用支出；双边效应；医疗健康信息
摘　要：

医疗费用支出的持续增长，一直是我国医药卫生体制改革的痛点和难点。以互联网普及为代表的信息技术革命，为突破传统控费瓶颈提供了创新的可能。基于2006-2023年中国省级面板数据，利用双边随机前沿模型测算互联网普及对医疗费用支出的抑制效应、驱动效应和净效应，结果表明：互联网普及的抑制效应使医疗费用支出低于前沿水平12.52%，驱动效应使医疗费用支出高于前沿水平2.52%，二者的综合作用使医疗费用支出的实际水平低于前沿水平10%。机制分析表明，互联网普及有助于缓解患者在疾病预防、就诊选择和治疗决策中的信息劣势，从而抑制医疗费用支出。因此，建议在加快互联网普及进程的同时，优化互联网医疗健康信息的发布、监管、认证和评价机制，进而推进互联网医疗健康信息与基层医疗卫生服务的深度融合。

 

Suppression or Stimulation: the Bilateral Effects of Internet Peneration on Healthcare Expenditures

Meng Yingying， Zhang Kang

(Wuhan University)

Abstract  The continuous growth of healthcare expenditures has long been a prominent challenge in the reform of China's medical and healthcare system. The information technology revolution, epitomized by internet penetration, offers innovative opportunities for overcoming traditional cost-control bottlenecks. Based on China's provincial panel data from 2006 to 2023, this paper employs a two-tier stochastic frontier model to measure the suppressing, stimulating, and net effects of internet penetration on healthcare expenditures. The results indicate that the suppressing effect of internet penetration reduces healthcare expenditure by 12.52% below the frontier level, while its driving effect pushes up expenditure by 2.52% above the frontier level. The combined effect of the two makes the actual expenditure 10% lower than the frontier level. Mechanism analysis indicates that internet penetration helps alleviate patients' information disadvantages in disease prevention, medical service selection, and treatment decision-making, thereby curbing healthcare expenditure. Accordingly, while accelerating internet penetration, China should optimize mechanisms for the release, supervision, authentication, and evaluation of online healthcare information, so as to promote in-depth integration of internet-based healthcare information with primary healthcare services.

Key words   internet penetration; healthcare expenditures; bilateral effects; healthcare information

 

■ 作者简介  孟颖颖，武汉大学政治与公共管理学院、社会保障研究中心教授，湖北 武汉 430072；张康，武汉大学政治与公共管理学院博士研究生。

[PDF]（下载数：）