加拿大有多好地控制了医疗费用?
1Department of Medicine, Yale University School of Medicine, New Haven, Conn.
JAMA
|May 8, 1991
概括
由于费用表和支出目标,医生服务的省级成本控制有所不同. 医生供应的增长始终推动了所有省份的利用率增加.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 医生服务管理 医生服务管理
背景情况:
- 加拿大各省已采用费用表和支出目标来控制医生服务成本,但取得了不同程度的成功.
- 分析成本控制策略对于了解医疗保健支出趋势至关重要.
研究的目的:
- 为了检查医生服务成本在安大略省,北克省和不列颠哥伦比亚省从1975年到1987年的变化,医生服务成本在1975年至1987年之间增加.
- 确定导致成本上升的因素,包括费用上,利用模式和医生供应.
主要方法:
- 对加拿大三个省份医生服务成本数据的比较分析.
- 检查收费表,支出目标,医生供应和利用率之间的相互作用.
主要成果:
- 成本上源于费用上和利用率增长的结合,这是医生供应增加所推动的.
- 成本上升的省级差异与费用控制的严格性和支出目标的实施有关.
- 使用率在所有省份都稳步上升,与医生供应的增长有很强的相关性,尤其明显在北克.
结论:
- 医生服务的有效成本控制需要解决费用表和使用情况.
- 未来的成本控制策略可能需要限制进入实践的新医生的数量,除了目前的控制.
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