Hsiao W C, Braun P, Dunn D L, Becker E R, Yntema D, Verrilli D K, Stamenovic E, Chen S P
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA.
Med Care. 1992 Nov;30(11 Suppl):NS1-12. doi: 10.1097/00005650-199211001-00001.
Responding to distortions in payment rates between services, policymakers in the United States have sought a systematic and rational foundation for determining physician fees. One such approach to paying physicians, the Resource-Based Relative Value Scale (RBRVS), determines fees by measuring the relative resource costs required to produce them. On January 1, 1992, the Medicare program implemented a new payment system for physician services based on the RBRVS. This article provides a brief history of the RBRVS and a summary of the methods and data used to derive it. This overview represents the culmination of 6 years of research by the Harvard RBRVS study team and provides a road map to the study's concepts and definitions. The overview also provides a context for the articles in this issue that describe five major studies undertaken since 1988. The study's overall results are presented in the last article of the series.
为应对不同服务之间支付费率的扭曲情况，美国的政策制定者一直在寻求一个系统且合理的基础来确定医生的费用。一种支付医生费用的方法，即基于资源的相对价值尺度（RBRVS），通过衡量提供这些服务所需的相对资源成本来确定费用。1992年1月1日，医疗保险计划实施了基于RBRVS的医生服务新支付系统。本文简要介绍了RBRVS的历史，并总结了用于推导它的方法和数据。这一概述代表了哈佛RBRVS研究团队6年研究的成果，并为该研究的概念和定义提供了路线图。该概述还为本期中描述自1988年以来开展的五项主要研究的文章提供了背景。该研究的总体结果在该系列的最后一篇文章中呈现。
