运用医疗费用合理增长率测算方法评价我国医疗费用增长状况

Employing the Measuring Methods of Appropriate Increasing Rate of Medical Expenditure to Evaluate the Medical Expenditure Increase in China

运用课题组研制的4类增长率计算方法,测算了1991—1998年我国中等发达地区医疗费用合理增长率,并将其与医疗费用、次均医疗费用实际增长率比较。结果表明,在1991—1998年期间,以中等发达地区为样本:(1)各样本地区的医疗费用总量增长基本都在合理增长的范围内,没有证据表明医疗费用总量呈现过快增长;(2)与此同时,样本地区的次均医疗费用增长迅速,成为我国医疗费用变化的新特征。与之相伴,居民的医疗需求呈现大幅度萎缩态势。研究建议,在目前阶段,合理控制医疗费用的重点应放在次均医疗费用上。

In this paper, middle-economic-level areas were sampled to study the medical expenditure increase in China. The measuring method of appropriate increasing rate of medical expenditure was employed. Study results: During period of 1991-1998, no evidences showed that medical expenditure was being over-increased in sampling areas while medical expenditure per patient was over - increased. Study suggested that medical expenditure per patient should be considered as the keystone of reasonably controlling medical expenditure.