Dunham N C, Kindig D A, Lastiri-Quiros S, Barham M T, Ramsay P
St. Marys Hospital Medical Center, Madison, WI 53715-0450.
JAMA. 1991 Jun 12;265(22):2982-6.
A survey of a sample of physician group practices in Wisconsin was undertaken to determine the amounts of charity care, bad debt, and discounted Medicaid care that were provided in 1988. Overall, the physician group practices in the sample reported dollar amounts of uncompensated care and discounted Medicaid care that averaged approximately 7.6% of their total billings for the year (1.6% of charity care, 3.0% of bad debt, and 3.0% of discounted Medicaid care). From the dollar totals reported, it was calculated that the individual physicians represented by this sample of group practices were responsible for, on average, +4300 of charity care, +9100 of bad debt, and +7500 of Medicaid discounted services, for a yearly per-physician total of +20,900 of uncompensated care and discounted care provided to uninsured and indigent patients. The results indicate that a majority of the group practices provided more charity care in 1988 than they had 5 years earlier and suggest that the burden of providing uncompensated care tends to fall disproportionately on those group practices that are also providing relatively high levels of service to Medicaid recipients.
对威斯康星州的一组医生诊所样本进行了一项调查，以确定1988年提供的慈善医疗、坏账和折扣医疗补助的数额。总体而言，样本中的医生诊所报告的无偿医疗和折扣医疗补助金额平均约占其当年总账单的7.6%（慈善医疗为1.6%，坏账为3.0%，折扣医疗补助为3.0%）。根据报告的美元总数计算得出，由该诊所样本所代表的个体医生平均负责4300美元的慈善医疗、9100美元的坏账以及7500美元的医疗补助折扣服务，每年每位医生为无保险和贫困患者提供的无偿医疗和折扣医疗总计达20900美元。结果表明，大多数诊所1988年提供的慈善医疗比5年前更多，这表明提供无偿医疗的负担往往不成比例地落在那些也为医疗补助受助人提供相对高水平服务的诊所身上。
