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归因分析医疗费用过快增长的责任归属 被引量:5

Attribution analysis on responsibility of the excessive growth of medical expenditure
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摘要 为明确医疗费用的过快增长中,财政、物价和医疗机构的责任大小,依据全国卫生财务年报资料等常规统计数据分析发现,18年来,财政和物价承担着主要的责任,归因责任分别达到了56.9%~100.8%和23.1%~64.1%,扣除财政和物价对医疗费用增长作用后,医疗机构所起作用除1992年外各年份均为明显的负值(-1.9%到-50.0%)。这表明在目前的医疗费用增长中,医疗机构并没有完全补足财政投入萎缩和服务成本的增加。 This study was based on the financial report of national health statistics and other conventional materials, to clarify the responsibility of the financial,the commodity prices and the medical institution in excessive growth of medical expenditure.It showed that the financial and commodity prices beared the primary responsibility by attribution analysis, the responsibilities attributed accounting for 56.9%~100.8%and 23.1%~64.1%.After deducting the financial and price factors in the growth of medical expenditure,the responsibility attributed to medical institutions was negative from 1992 to 2008(-1.9%~-50.0%),except 1992.Under the growth of medical expenditure,the medical institutions couldn't make up for the lack of government subsidies and the increase of medical service cost.
出处 《中国卫生资源》 2011年第1期52-53,共2页 Chinese Health Resources
基金 国家自然科学基金重点项目基金资助 项目编号:70733002 "长江学者特聘教授"项目基金资助 教育部2009年度创新团队项目基金资助 项目编号:IRT0912
关键词 医疗费用 财政 医疗机构 责任归属 Medical expenditure Financial Medical institution Attribution
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