医疗服务项目价格管理与医疗费用控制的实证研究

Empirical Study on Medical Service Price Management and Medical Expenditure Control D

目的:研究医疗服务项目价格的变化能否实现医疗费用的控制。方法:趋势分析、相关性分析、结构分析和威尔科克森符号秩检验等统计分析技术。结果:医疗服务项目价格管理最少可以引导医疗费用的控制。结论:(1)医疗行业存在广泛的交叉补贴;(2)药费和检查费与医药总费用关系密切,但实现医药费用控制未必是直接降低药费或检查费;(3)没有证据表明药品价格降低可以降低患者药费用或药费负担。

Objective： To analyze whether the changes of medical service prices could implement medical expenditure control. Methods： Trend analysis, relevance analysis, structure analysis and Wilcoxon signed-rank test are applied. Results： Price management of medical service can at least lead the medical expenditure control. Conclusion： （1）Cross-subsidization is widely employed in medical process; （2）though medicine expenditure and examination expenditure are closely connected with gross medical-expenditure, controlling medical-expenditure does not mean cutting medicine expenditure or examination expenditure; （3）there is no evidence to prove lower medicine expenditure would help to cut-down or alleviate patients＇ burden.