初级保健医生办公室参观的商业价格
Yang Wang1, Mark Meiselbach2, Xu Wang2
1Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. ywang406@jhu.edu.
Journal of general internal medicine
|October 3, 2025
概括
初级保健医生 (PCP) 的商业价格因所有权,实践规模和位置而有很大差异. 诸如企业所有权和更大的实践等因素导致价格上,影响医疗保健成本.
科学领域:
- 卫生经济学 卫生经济学
- 主要护理医学 医疗保健
- 医疗保健政策 医疗保健政策
背景情况:
- 初级保健是美国医疗保健系统的核心.
- 商业保险价格显著影响医生供应和患者获取.
- 关于商业初级保健定价及其决定因素的理解有限.
研究的目的:
- 分析初级保健医生办公室访问商业价格的水平和变化.
- 确定影响价格变化的医生,实践和市场因素.
主要方法:
- 使用覆盖率透明度 (TiC) 数据进行的横截面观察研究.
- 分析了来自四家主要国家保险公司的876,079个3级初级保健办公室访问的商业价格.
- 涉及174,561名初级保健医生 (PCP),为商业保险患者提供服务.
主要成果:
- 全国平均商业价格为新患者145.2美元,老患者101.6美元.
- 企业所有权与新患者访问价格上17.9%有关.
- 较大的诊所 (>100名医生) 谈判价格高出28%;家庭医学专家和低收入地区的医生价格较低.
结论:
- 医生企业所有权,实践规模,年龄,专业和当地收入是商业价格变化的关键驱动因素.
- 了解这些因素对于加强美国初级保健系统至关重要.
- 这些发现凸显了初级保健价格的巨大差异.
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