竞争,监管和医院费用,1982年至1986年
1Department of Social and Administrative Health Sciences, School of Public Health, University of California, Berkeley 94720.
JAMA
|November 11, 1988
概括
监管政策,就像所有纳税人的税率监管一样,有效地降低了医院成本通胀. 面向市场的战略和医疗保险
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 医院管理部门 医院管理部门
背景情况:
- 医院费用通货膨胀是医疗保健的一个重大问题.
- 评估成本控制政策对于可持续的医疗保健系统至关重要.
研究的目的:
- 为了比较监管与以市场为导向的成本控制政策对医院成本通胀的有效性.
- 分析特定政策类型和医院特征对成本增加的影响.
主要方法:
- 分析了1982年至1986年间来自5490家非联邦短期通用医院的数据.
- 在全付费者税率监管,以市场为导向的战略和控制状态下的医院的比较.
- 统计分析控制工资和患者组合.
主要成果:
- 全付款人税率监管将通货膨胀率降低6.3%-16.3%在马来西亚,马来西亚和纽约.
- 加利福尼亚州以市场为导向的政策将通货膨胀率降低了10.1%.
- 有更多医疗保险患者的医院的通货膨胀率降低了16.1%,投资者拥有的医院的成本增加更高.
结论:
- 全付费者税率监管在控制医院费用通胀方面表现出显著的有效性.
- 面向市场的政策也取得了成功,尽管可能不如监管那么一致.
- 医院的所有权类型和付款人组合显著影响成本通胀趋势.
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