Gillis K D, Lee D W, Willke R J
Center for Health Policy Research, American Medical Association, Chicago, IL 60610.
Inquiry. 1992 Fall;29(3):321-31.
Physician payment reforms implemented in January 1992 have dramatically changed the way payments for services are determined under the Medicare Part B program. This paper presents new measures of access using physician-level data that provide a baseline for monitoring changes in access that might occur as these payment reforms unfold and that allow us to examine recent access trends. Our results suggest that Medicare beneficiaries as a group currently have a high degree of access to care, and that access generally improved between 1986 and 1990.
1992年1月实施的医生支付改革极大地改变了医疗保险B部分计划下服务支付的确定方式。本文使用医生层面的数据提出了新的可及性衡量指标，这些指标为监测随着这些支付改革的推进可能出现的可及性变化提供了基线，并使我们能够研究近期的可及性趋势。我们的结果表明，作为一个群体的医疗保险受益人目前有很高的医疗可及性，并且在1986年至1990年期间可及性总体上有所改善。
