Dayhoff D A, Cromwell J, Rosenbach M L
Health Economics Research, Inc., Waltham, MA 02154.
Health Care Financ Rev. 1993 Spring;14(3):119-37.
The 1988 physicians' practice costs and income survey (PPCIS) collected detailed costs, revenues, and incomes data for a sample of 3,086 physicians. These data are utilized to update the Health Care Financing Administration (HCFA) cost shares used in calculating the medicare economic index (MEI) and the geographic practice cost index (GPCI). Cost shares were calculated for the national sample, for 16 specialty groupings, for urban and rural areas, and for 9 census divisions. Although statistical tests reveal that cost shares differ across specialties and geographic areas, sensitivity analysis shows that these differences are small enough to have trivial effects in computing the MEI and GPCI. These results may inform policymakers on one aspect of the larger issue of whether physician payments should vary by geographic location or specialty.
1988年医生执业成本与收入调查（PPCIS）收集了3086名医生样本的详细成本、收入和收益数据。这些数据用于更新医疗保健财务管理局（HCFA）在计算医疗保险经济指数（MEI）和地理执业成本指数（GPCI）时使用的成本分摊比例。计算了全国样本、16个专业分组、城乡地区以及9个普查区的成本分摊比例。尽管统计测试表明不同专业和地理区域的成本分摊比例存在差异，但敏感性分析表明，这些差异足够小，在计算MEI和GPCI时产生的影响微不足道。这些结果可以就医生薪酬是否应因地理位置或专业而异这一更大问题的一个方面为政策制定者提供参考。
