瑞士强制性医疗保险覆盖范围扩大带来的因果关系
Boris Kaiser1, Andreas Kohler2, Christian P R Schmid3
1BSS Volkswirtschaftliche Beratung, Aeschengraben 9, 4051, Basel, Switzerland.
概括
瑞士强制性医疗保险覆盖范围的扩大使补充和替代医学的成本增加了7%. 然而,这种增长被补充保险成本的下降所抵消,这表明医生行为没有改变.
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
- 医疗服务 研究 研究 研究 医疗服务
背景情况:
- 公共医疗保险的扩展可以影响医疗保健提供者的行为和成本.
- 2012年瑞士的政策变化规定了补充和替代医学 (CAM) 医生服务的覆盖范围.
研究的目的:
- 估计扩大CAM医疗保险覆盖范围对付款人和医生行为的因果关系.
- 分析CAM覆盖对医疗保健支出的影响,在准实验设计中.
主要方法:
- 使用差异差异框架来分析准实验数据.
- 在政策实施之前和之后,对每个患者的医生成本的比较变化.
主要成果:
- 扩大CAM覆盖范围增加了每名患者的医生费用,为付款人增加了约7%.
- 强制性医疗保险成本的增加几乎完全被补充保险成本的下降所抵消.
结论:
- 该研究表明,2012年瑞士医疗保险政策的变化并没有改变整体医生服务利用或行为.
- 尽管CAM的强制性保险成本增加,但由于保险类型之间的成本再分配,对付款人的净财务影响是最小的.
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