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次均医疗费用增长中诱导服务研究
引用本文:罗力,张勇,邵晶晶,白常凯,马安宁,尹爱田,林海,苌凤水,王志峰,傅鸿鹏,郝模.次均医疗费用增长中诱导服务研究[J].中国医院管理,2002,22(9):44-45.
作者姓名:罗力  张勇  邵晶晶  白常凯  马安宁  尹爱田  林海  苌凤水  王志峰  傅鸿鹏  郝模
作者单位:1. 复旦大学卫生事业管理学教研室,上海市,200032
2. 山东省潍坊市卫生局,潍坊市,261000
3. 潍坊医学院,维坊市,261042
基金项目:国家杰出青年基金(批号:79925002),教育部博士点基金,上海市优秀学科带头人基金,上海市教委青年基金
摘    要:中等发达地区次均医疗费用的过快增长与诱导服务密切相关。文章提出了计算次均医疗费用中诱导服务成分的方法,并以中等发达地区为产本地区测算了次均医疗费用中诱导服务比例,研究结果表明,我国中等发达地区次均医疗费用增长中存在一定比例的诱导服务,由此使得1998年次均医疗费用中诱导服务比至少在15.30%以上。研究建议通过改变医院支付方式,控制诱导服务和次均医疗费用的过快增长。

关 键 词:医疗费用  诱导服务  次均医疗费
文章编号:1001-5329(2002)09-0044-02
修稿时间:2002年7月24日

The Induced Services in Medical Expenditure Per Patient Increment
Luo Li,Zhang Yong,Shao Jingjing,et al..The Induced Services in Medical Expenditure Per Patient Increment[J].Chinese Hospital Management,2002,22(9):44-45.
Authors:Luo Li  Zhang Yong  Shao Jingjing  
Institution:Luo Li,Zhang Yong,Shao Jingjing,et al. First-author' s address The Department of Health Policy and Management,Fudan University,Shanghai,200032,PRC.
Abstract:Induced services had close relation with the over-increase of medical expenditure per patient in middle-economic-level areas. A method to measure induced services component in medical expenditure per patient was developed in this paper and the middle-economic-level areas was sampled to apply the method. Study results: a certainty proportion of induced services existed in the increment of medical expenditure per patient in middle-economic-level areas. The proportion of induced service in medical expenditure per patient in 1998 was more than 15. 30%. Study suggested that the induced services and the over - increase of medical expenditure per patient should be controlled with the means of changing paying model of hospital.
Keywords:medical expenditure  induced service  medical expenditure per petient  
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