医疗服务价格的区域差异:来自中国的证据
1Department of Health Economics, School of Public Health, Fudan University, 130 Dong'an Road, Shanghai, 200032, China.
BMC public health
|August 29, 2024
概括
中国的医疗服务价格因地区而异,最高价格比最低价格高出74%. 较高的价格与较低的收入和减少的医疗保健准入相关,影响利用率和支出.
科学领域:
- 卫生经济学 卫生经济学
- 空间分析 空间分析
- 公共卫生政策 公共卫生政策
背景情况:
- 医疗服务价格在中国呈现区域差异,可能阻碍公平获得医疗保健.
- 了解这些价格变化对于解决不同收入水平的医疗保健不平等至关重要.
研究的目的:
- 估计中国31个省份医疗服务的空间价格指数.
- 分析医疗服务价格水平,收入,医疗保健利用率和支出之间的关系.
主要方法:
- 从区域时间表中收集医疗服务价格数据.
- 采用两种基于购买力平价的方法来计算空间价格指数.
- 利用双向固定效应模型来评估与收入的关联以及对医疗保健利用和支出的影响.
主要成果:
- 两种估计方法的一致结果证实了区域价格差距很大.
- 价格最高的地区的医疗服务成本比价格最低的地区高出74%.
- 在价格水平和收入之间,以及在价格水平和门诊服务利用率之间观察到负相关性. 价格水平上1%与门诊医疗费用增加0.34%和住院医疗费用增加0.24%相关.
结论:
- 在中国,医疗服务价格存在显著的区域差异.
- 政策制定者必须解决这些价格差异,以确保公平获得医疗保健.
- 建议加强金融保护措施,以实现全民健康覆盖.
相关概念视频
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:30Specialized Care Centers and Settings-II
719
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
719