随着时间的推移,医疗价格增长的跨国比较
Irene Papanicolas1,2, Jonathan Cylus1,2,3,4,5,6, Luca Lorenzoni7
1Center for Health System Sustainability (CHeSS), Brown University School of Public Health, Providence, Rhode Island, USA.
Health services research
|March 8, 2024
概括
与2000年至2020年一般价格增长相比,美国经历了最高的医疗价格增长,超过了其他高收入国家. 美国家庭也面临着医疗保健价格的最大年度增长.
科学领域:
- 卫生经济学 卫生经济学
- 对健康政策进行比较分析.
- 价格指数方法的方法论
背景情况:
- 国际卫生支出比较对于了解国家经济表现至关重要.
- 医疗价格的上对整体医疗保健支出产生了重大影响.
- 现有的研究经常使用一般价格指数,可能会误导卫生部门的通货膨胀.
研究的目的:
- 为了比较2000年至2020年的美国与澳大利亚,加拿大,法国和荷兰的医疗价格增长.
- 分析医疗价格增长与特定国家的一般价格增长之间的差异.
- 评估医疗价格上对公共支付者和家庭的差异性影响.
主要方法:
- 利用经济合作与发展组织 (OECD) 和国家机构 (2000-2020) 的二次卫生支出数据.
- 使用支出数据构建国际卫生专用价格指数.
- 将这些健康价格指数与国家和一般国际价格指数进行比较.
主要成果:
- 美国的医疗保健价格累计增长率最高 (14%),相对于一般价格增长 (2000-2020年).
- 法国的医疗价格与一般价格相一致;加拿大和荷兰也显示出医疗价格的显著增长.
- 公开资助的医疗保健的价格增长高于家庭支出,美国家庭面临着最高的年均价格增长.
结论:
- 价格指数的选择显著影响了医疗保健支出比较分析.
- 一般价格指数可能低估了医疗保健价格上对医疗保健总支出的贡献.
- 美国面临政府和家庭支付服务的医疗保健价格大幅上,超过了一般通货膨胀和比较国家.
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