中等发达地区医疗费用增长归因分析

Medical Expenditure Increase Attribution Analysis in Middle-economic-level Areas

运用“医保、医疗、医药三方发展有失协调的恶性循环模型”定量方法,测算了中等发达地区医疗费用增长的各方责任。研究发现中等发达地区次均医疗费用过快增长中,诊疗人次萎缩的作用超过了财政投入相对萎缩的作用,提示在中等发达地区必须将提高医疗保障水平作为恢复医院、医保和医药三方协调关系的切入点,其合理方式是社会性医疗保险制度的贯彻落实到位,其前提是对医疗费用实行“总量控制”,促进其增长保持在合理水平。

In this paper, the vicious circle model of health system was employed to quantitatively measure the responsibility attributions of medical expenditure increase in middle-economic-level areas. In the over-increase of medical expenditure in middle-economic-level, the responsibility of hospitalization quantity decrease was higher than that of the relative shrink of financial investment to hospitals. It was suggested that the increase oi medical insurance level should be treated as the cut-in action to resume the coordination of hospitals, medical insurances and drug industries. The feasible way is the fulfillment of social medical insurance system and the precondition is hospital revenue control.