价格透明度工具的可用性与门诊支出之间的关联
Sunita Desai1, Laura A Hatfield1, Andrew L Hicks1
1Harvard Medical School, Boston, Massachusetts.
JAMA
|May 4, 2016
概括
提供医疗价格透明度工具并没有减少员工的门诊支出. 该工具的使用率很低,只有10%的符合条件的员工使用它.
科学领域:
- 健康经济学
- 医疗服务研究
- 医疗管理
背景情况:
- 人们越来越关注利用价格透明度工具来缓解不断上升的医疗保健支出.
- 了解这些工具对实际医疗保健支出的影响对于有效的政策制定至关重要.
研究的目的:
- 评估医疗价格透明度工具的可用性与门诊医疗支出之间的关联.
- 评估对员工的总和自付开支的影响.
主要方法:
- 使用匹配差异设计,将提供工具的员工与对照组进行比较.
- 美国两大雇主的数据涵盖了148,655名提供该工具的员工和295,983名控制员工.
- 在工具实施之前和之后分析了门诊支出和工具利用率.
主要成果:
- 提供价格透明度工具与每名员工每年门诊支出平均增加59美元有关.
- 每名员工的支出也增加了18美元.
- 只有10%的符合条件的员工在第一年使用了价格透明度工具.
结论:
- 价格透明度工具的引入与被研究公司的员工医疗支出减少无关.
- 低采用率表明该工具的潜在障碍或感知价值有限.
- 可能需要进一步的研究来确定影响这些工具的有效性和利用的因素.
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