医生费用的地理差异. 医生费用的地理差异. 在医疗保险和医疗补助计划下向医生支付的费用
JAMA
|September 22, 1978
概括
在医疗保险和医疗补助方面,医生补偿率因地理位置而异. 医疗补助专家费用通常低于医疗保险,州一级的差异很大,影响了医生工资.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学经济学 医学经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 医疗保险和医疗补助是美国重要的政府医疗保险计划.
- 了解医生报销变化对于医疗保健的获取和提供者的可持续性至关重要.
- 医疗保健成本和提供者支付的地理差异是一个持续的担忧.
研究的目的:
- 调查医疗保险和医疗补助计划下的医生费用的地理差异.
- 为了比较国家,地区,州和县级的报销率.
- 分析这些费用差异对医生的报酬的影响.
主要方法:
- 分析跨多个地理层面 (国家,区域,州,县) 的医生补偿率.
- 医疗保险和医疗补助计划之间的费用结构比较.
- 城市与农村 (大都市与非大都市) 支付差异的检查.
主要成果:
- 在全国范围内,医疗补助专家费用平均占医疗保险专家费用的77%.
- 大都市地区的医疗保险专家费用高出23%;医疗补助没有显示这种差异.
- 观察到州一级的显著差异:医疗保险费用在全国平均水平的73%-132%之间,而医疗补助费用在49%-179%之间.
结论:
- 在医生补偿方面存在显著的地理和特定计划差异.
- 州级的医疗补助费用可以低至医疗保险专家费用的39%.
- 全国或全州的费用结构可能会对某些地区的医生收入产生重大影响.
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