Fergusson D M, Horwood L J, Shannon F T
Christchurch Child Development Study, Department of Paediatrics, Christchurch School of Medicine, Christchurch Hospital.
N Z Med J. 1989 Jun 14;102(869):286-8.
General practitioner fees were surveyed in a sample of 1033 families with eleven year old children. The median fee paid for a child consultation was $12.00 and for an adult consultation $22.00. The majority of respondents were of the opinion that these fees were too high: over half said this about child fees and over two thirds believed adult fees were too high. Patient estimates of reasonable fees were, on average, $8.00 for a child and $15.00 for an adult. There were clear and consistent dose/response relationships between the fee level charged and the likelihood that the fee would be described as too high. Comparisons of the fees paid by this cohort in 1980 with fees in 1988 indicated that child fees had increased at an average rate of 24% per annum during this period. The implications of these findings for health care delivery are discussed and the possible impact of recent increases in GMS benefits on levels of dissatisfaction with fees are examined.
对1033个有11岁孩子的家庭样本进行了全科医生诊疗费用调查。儿童诊疗的中位数费用为12.00美元，成人诊疗为22.00美元。大多数受访者认为这些费用过高：超过一半的人认为儿童诊疗费用过高，超过三分之二的人认为成人诊疗费用过高。患者估计的合理费用平均为儿童8.00美元，成人为15.00美元。所收取的费用水平与该费用被认为过高的可能性之间存在明确且一致的剂量/反应关系。将该队列在1980年支付的费用与1988年的费用进行比较表明，在此期间儿童费用以每年24%的平均速度增长。讨论了这些发现对医疗服务提供的影响，并研究了近期全科医疗服务（GMS）福利增加对费用不满程度的可能影响。
