专科医生费用变化的来源:来自澳大利亚医疗保险索赔数据的证据
Jongsay Yong1, Adam G Elshaug2, Susan J Mendez1
1Melbourne Institute: Applied Economic & Social Research, The University of Melbourne, Australia.
澳大利亚私人医疗部门的医生费用显示出显著的差异. 大多数费用差异来源于个体医生的定价,而不是患者的健康需求或医学专业.
科学领域:
- 卫生经济学 卫生经济学
- 医疗政策 医疗政策
- 公共卫生 公共卫生
背景情况:
- 澳大利亚的全民医疗保健与大量的私人医疗保险市场共存.
- 私营部门的专科医生费用不受监管,导致潜在的价格差异.
- 了解费用变化对于制定私人医疗保健政策至关重要.
研究的目的:
- 调查澳大利亚私人医疗保险体系内专科医生费用变化的来源.
- 确定患者风险因素,医生特定因素和医疗专业对费用差异的贡献程度.
- 分析收取的总费用和自付费用.
主要方法:
- 利用来自澳大利亚一家大型私人医疗保险公司的医疗保险索赔数据.
- 采用了两阶段的方法:在患者层面调整风险的价格,然后汇总到医生层面的平均值.
- 应用差异组件模型来分析医生水平的综合平均价格.
主要成果:
- 患者的风险因素只解释了专家医生的费用和自付费用的差异的很小一部分.
- 特定于医生的因素被确定为费用变化的主要驱动因素.
- 医疗专业和其他未观察到的因素对整体费用差异的贡献较小.
结论:
- 医生特定的定价策略是私人专业医疗保健费用差异的主要原因.
- 旨在减少费用波动的政策干预应侧重于了解和解决医生层面的特征.
- 进一步研究医生行为和市场动态是有必要的,以告知医疗保健政策.
更多相关视频
11:58Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
06:16Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
相关概念视频
Secondary Healthcare System
Tertiary Healthcare System
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Variability: Analysis
The range is a simple measure of variability, indicating the difference between the highest and...
