经济学 经济学 经济学
1Georgetown University Medical Center, Washington, DC.
JAMA
|June 1, 1994
概括
1989年之前,医生的收入增长速度比美国工人的平均收入快. 低的医疗补助退款率并没有限制患者获得基本护理,其他付款人正在采用医疗保险.
科学领域:
- 卫生经济学 卫生经济学
- 医疗政策 医疗政策
背景情况:
- 医生的实际收入增长超过了1989年之前美国工人的平均收入.
- 医疗补助补偿率及其对患者获得护理的影响是一个关键问题.
- 其他付款人广泛采用医疗保险的基于资源的相对价值量表 (RBRVS) 是一个显著的趋势.
研究的目的:
- 分析与其他美国工人相比,医生的实际收入趋势.
- 调查低Medicaid费用与患者获得最低水平护理之间的关系.
- 检查非医疗保险缴费者采用基于资源的相对价值表 (RBRVS) 的情况.
主要方法:
- 使用历史数据进行比较收入分析.
- 与医疗补助费用水平相关的患者获得护理的评估.
- 调查或分析各种医疗保健支付机构采用的支付模式.
主要成果:
- 1989年之前,医生实际收入增长率高于美国平均工人.
- 低的医疗补助费似乎并没有妨碍获得基本标准的护理.
- 除医疗保险之外,许多付款人正在实施基于资源的相对价值表 (RBRVS) 付款系统.
结论:
- 医生的薪酬趋势与1989年之前的工人平均收入有所不同.
- 医疗补助费用水平可能不是获得基本医疗保健的主要障碍.
- 基于资源的相对价值规模 (RBRVS) 正在成为医疗保健行业中普遍存在的支付方法.
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