価格の透明性ツールと門診費の関連性
Sunita Desai1, Laura A Hatfield1, Andrew L Hicks1
1Harvard Medical School, Boston, Massachusetts.
JAMA
|May 4, 2016
まとめ
医療費の透明性ツールを提供しても 従業員の診療費は減らなかったのです このツールの利用率は低い.対象となる従業員の10%しか使っていない.
科学分野:
- 健康 経済
- 医療サービス研究
- 医療管理
背景:
- 医療費の上昇を緩和するために 価格の透明性を高めるツールへの関心が高まっています
- 効果的な政策策定には,これらのツールの実際の医療支出への影響を理解することが重要です.
研究 の 目的:
- 医療費の透明性ツールと 外来医療費の関連性を評価する.
- 従業員の総支出と自費支出の両方に与える影響を評価する.
主な方法:
- ツールを提供された従業員と対照群を比較して,マッチした差異の差異設計が採用されました.
- このツールが提供された148,655人の従業員と295,983人のコントロール従業員を対象とした.
- 外科医の支出とツールの利用率は,ツールの導入前と後に分析されました.
主要な成果:
- 価格の透明性のツールを提供すると,従業員1人当たりの年平均59ドルの増額が起こりました.
- 従業員1人当たり18ドル増加した.
- 適格な従業員の10%だけが,最初の1年以内に価格の透明性ツールを使用しました.
結論:
- 価格の透明性ツールの導入は,研究対象企業の従業員の医療費の削減と関連していません.
- 低採用率は 潜在的な障壁や ツールの認識価値の限界を示唆しています
- このようなツールの有効性や利用に影響を与える要因を特定するには,さらなる研究が必要かもしれません.
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