Danzon P M, Manning W G, Marquis M S
Health Care Financ Rev. 1984 Summer;5(4):23-32.
The use of clinical laboratory tests has more than doubled during the past decade. Some observers of the health system feel that this growth is excessive and is a result of current payment systems. This article examines the effects of current reimbursement policies with regard to the use of laboratory tests and prices charged for tests. The results suggest the following: The method of financing medical care, including cost sharing and prepaid group practice arrangements, affects the volume of laboratory testing through the number of patient contacts with the medical care system rather than through the number of tests used per patient contact. Fee ceilings on physician time appear to be partially offset by higher test prices. Cost-based reimbursement for hospital services is associated with higher charges in hospital laboratories.
在过去十年中，临床实验室检测的使用量增加了一倍多。一些卫生系统观察人士认为，这种增长过度，是当前支付系统造成的结果。本文探讨了当前报销政策对实验室检测使用及检测收费的影响。结果表明：医疗保健的融资方式，包括成本分摊和预付费团体医疗安排，是通过患者与医疗保健系统的接触次数而非每次患者接触所使用的检测次数来影响实验室检测量。对医生诊疗时间的费用上限似乎部分被更高的检测价格所抵消。医院服务基于成本的报销与医院实验室更高的收费相关。
