メディケア医師の支出の最近の増加を理解する
J Holahan1, A Dor, S Zuckerman
1Urban Institute, Washington, DC.
JAMA
|March 23, 1990
まとめ
メディケア医師のサービスは,1983年から1985年の間に15%増加し,特に新しい医療技術を採用している裕福な地域で増加しました. 割り当て率の増加も,この成長に寄与した.
科学分野:
- 健康経済学 医療経済学
- 医療サービス 研究 医療サービス
- 医療政策分析 医療政策分析
背景:
- メディケア医師サービスは1980年代半ばに著しい成長を遂げました.
- この成長の原動力を理解することは,医療政策と資源配分において極めて重要です.
研究 の 目的:
- 1983年から1985年にかけてのメディケア医師サービスの最近の増加に寄与する要因を調べる.
- 医者のサービス利用に対する社会経済的要因,技術の採用,政策の変化の影響を調査する.
主な方法:
- 1983年と1985年のヘルス・ケア・ファイナンシング・アドミニストレーション (HCFA) の大規模なデータセットの分析.
- 人均所得,技術使用,メディケア医師のサービス量との相関の統計的検討.
主要な成果:
- 医師のサービスは1983年から1985年の間に実質的に約15%成長した.
- 新医療技術の採用と普及に関連して,高所得地域では成長が速い.
- より新しい手順を使用した専門家は,より速い量の増加を記録しました.
- 医者の参加プログラムによる割り当て率の増加は,サービスの成長に寄与しました.
- メディケアの将来的な支払制度は,パートBの支出増加に最小限の影響を及ぼしました.
- 医者の手数料の凍結は,サービス量に大きな影響を与えない.
結論:
- 人口1人当たりの所得が高く,新しい医療技術の採用が速くなるということは,メディケアの医師のサービス利用率の増加と関連しています.
- 医者の参加プログラムのような政策介入は,サービス量に影響を与えました.
- 将来の支払いシステムと手数料の凍結は,この期間の医師サービスの成長に限られた影響を及ぼしました.
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