Zuckerman S, Welch W P, Pope G C
Urban Institute, Washington, DC 20037.
J Health Econ. 1990 Jun;9(1):39-69. doi: 10.1016/0167-6296(90)90040-a.
This paper develops a geographic index of physician practice costs. A Laspeyres index is derived for each Metropolitan Statistical Area and for the non-metropolitan portion of each state. Relative prices by area are obtained for four practice inputs: physicians' own time, employee wages, office rents, and malpractice insurance. Each input price proxy is weighted by the share of physician gross revenues spent on that input. The index is useful in explaining geographic variation in physician fees. It may be used in reforming the way Medicare pays physicians.
本文编制了一个医生执业成本的地理指数。为每个大都市统计区以及每个州的非大都市地区得出了一个拉斯佩雷斯指数。针对四种执业投入获取了各地区的相对价格：医生自身时间、员工工资、办公租金和医疗事故保险。每个投入价格代理指标都按照该投入在医生总收入中所占份额进行加权。该指数有助于解释医生诊疗费用的地理差异。它可用于改革医疗保险支付医生费用的方式。
