一个结构微模拟模型,用于医疗保健中需求侧成本共享
Jan Boone1, Minke Remmerswaal2
1Department of Economics, Tilburg University, The Netherlands; CPB Netherlands Bureau for Economic Policy Analysis, The Hague, The Netherlands; CEPR, London, United Kingdom.
Journal of health economics
|June 12, 2024
概括
增加医疗保健自扣额可以降低整体支出,并减少患者自付费用. 较高的自扣额,比如400欧元而不是300欧元,显著削减了医疗保健支出和自付费.
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
- 计量经济学 计量经济学
背景情况:
- 医疗保健的需求侧成本共享旨在减轻道德风险.
- 然而,它同时增加了患者对自付费用的暴露.
- 为了有效的医疗保健政策,平衡这些影响至关重要.
研究的目的:
- 开发和应用一个结构微模拟模型.
- 评估各种成本共享计划对医疗保健总和自付费用的影响.
- 为制定有关医疗保健融资的政策决策提供信息.
主要方法:
- 使用结构微模拟模型进行政策评估.
- 采用贝叶斯混合模型来表示医疗保健支出分布.
- 使用荷兰综合医疗保健数据进行模型估计.
- 模拟各种成本共享场景的政策结果.
主要成果:
- 从300欧元转移到400欧元的自扣额起点将平均医疗保健支出降低了4%.
- 这一政策变化也导致了自付支付减少了47%.
- 这些发现突显了扣除设计对医疗保健成本的重大影响.
结论:
- 调整成本共享参数,特别是可扣除的费用,可以有效地管理医疗保健支出.
- 优化自扣额度提供了减少总体支出和降低个人财务负担的双重好处.
- 微模拟建模为评估医疗保健政策干预提供了一个强大的框架.
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