引用本文: 蒋艳,满晓玮,赵丽颖,等.省级卫生总费用两种核算方法差异原因分析[J].中国卫生经济,2018,(1):65-69.[点击复制] .Analysis on causes of differences between provincial Total Health expenditure accounting results by Resource Method and by Provider Distribution Method[J].CHINESE HEALTH ECONOMICS,2018,(1):65-69.[点击复制]
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省级卫生总费用两种核算方法差异原因分析
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摘要:
目的:探索省级卫生总费用来源法和机构法两种核算方法产生差异的原因,为区域卫生政策制定提供参考。方法:相关分析,多元线性回归。结果:30个省市有18个省来源法核算结果小于机构法,12个省市的来源法核算结果大于机构法; 17个省市的结果差异率超过5%。城镇基本医疗保险基金结余和各省卫生服务的利用及优质卫生资源的情况均对核算差额产生影响。结论:关注商业健康保险结余的影响,异地就医除考虑卫生资源情况外,还应考虑经济、人口流动等多种因素影响。
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Analysis on causes of differences between provincial Total Health expenditure accounting results by Resource Method and by Provider Distribution Method
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Abstract:
Objective: To explore reasons between two accounting methods and give some useful suggestions for health policy making. Methods: Related analysis, Multiple linear regression Results: The accounting results by Resource Method are more than them by Provider Distribution in 18 provinces and cities and the rest 12 provinces and cities have the opposi te results. The difference rates of 17 provinces are over 5%.The surplus of urban basic medical insurance fund, use of health services and quality of health resources impact on the differences. Conclusions: Pay more attention to the impact of commercial health insurance balances. Getting medical treatment in different places,people not only consider the situation of health resources, but also should consider the economy, population mobility and other factors
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