経済学 経済学
1Georgetown University Medical Center, Washington, DC.
JAMA
|June 1, 1994
まとめ
医師の収入は,1989年以前の米国の労働者の平均収入よりも速く成長した. 低メディケイド返済率は,基本的な患者ケアへのアクセスを制限しなかったし,他の支払者はメディケアを採用しています.
科学分野:
- 健康経済学とは
- 医療政策 医療政策について
背景:
- 医者の実質所得の伸びは,1989年以前の米国の労働者の平均所得を上回った.
- メディケイドの補償率と,患者の医療へのアクセスに与える影響は,重要な懸念事項です.
- メディケアの資源ベースの相対価値スケール (RBRVS) が他の支払者によって広く採用されていることは,重要な傾向です.
研究 の 目的:
- 医療従事者の実質所得の動向を,他の米国労働者と比較して分析する.
- 低メディケイド手数料と患者の最低限のケアへのアクセスとの関係を調査する.
- メディケア以外の支払者による資源ベースの相対価値スケール (RBRVS) の採用を調査する.
主な方法:
- 歴史的データを用いた比較所得分析.
- メディケイドの料金の水準と関連して,患者のケアへのアクセスを評価する.
- さまざまな医療費の支払者によって採用された支払いモデルの調査または分析.
主要な成果:
- 医者は1989年以前に,平均的な米国労働者よりも高い実質所得の成長を経験しました.
- Medicaidの低料金は,基本的な標準のケアへのアクセスを妨げるようには見えませんでした.
- メディケア以外の多くの支払者は,資源ベースの相対価値スケール (RBRVS) 支払いシステムを導入しています.
結論:
- 医者の報酬の動向は,1989年以前の労働者の平均給与との差異を示した.
- メディケイドの料金のレベルは,基本的医療へのアクセスを阻む主要な障壁ではないかもしれません.
- リソースベースの相対価値スケール (RBRVS) は,ヘルスケア業界全体で一般的な支払い方法論になりつつあります.
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