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本文引用的文献

1
Small-area variations in the use of common surgical procedures: an international comparison of New England, England, and Norway.常见外科手术使用情况的小区域差异:新英格兰、英格兰和挪威的国际比较。
N Engl J Med. 1982 Nov 18;307(21):1310-4. doi: 10.1056/NEJM198211183072104.
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Variations in medical care among small areas.小区域间医疗服务的差异。
Sci Am. 1982 Apr;246(4):120-34. doi: 10.1038/scientificamerican0482-120.
3
Some interim results from a controlled trial of cost sharing in health insurance.一项医疗保险费用分担对照试验的一些中期结果。
N Engl J Med. 1981 Dec 17;305(25):1501-7. doi: 10.1056/NEJM198112173052504.
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Dealing with medical practice variations: a proposal for action.应对医疗实践差异:行动建议
Health Aff (Millwood). 1984 Summer;3(2):6-32. doi: 10.1377/hlthaff.3.2.6.
5
Will payment based on diagnosis-related groups control hospital costs?基于诊断相关分组的付费方式能控制医院成本吗?
N Engl J Med. 1984 Aug 2;311(5):295-300. doi: 10.1056/NEJM198408023110505.
6
Does free care improve adults' health? Results from a randomized controlled trial.免费医疗能改善成年人的健康状况吗?一项随机对照试验的结果。
N Engl J Med. 1983 Dec 8;309(23):1426-34. doi: 10.1056/NEJM198312083092305.
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Making sense out of utilization data.
Med Care. 1975 Oct;13(10):838-54. doi: 10.1097/00005650-197510000-00004.
8
Access to medical care and the local supply of physicians.获得医疗服务和当地医生的供应情况。
Med Care. 1977 Apr;15(4):338-46. doi: 10.1097/00005650-197704000-00009.
9
Can fee-for-service reimbursement coexist with demand creation?
Inquiry. 1979 Fall;16(3):247-58.

针对特定疾病的住院及门诊服务。

Hospital and ambulatory services for selected illnesses.

作者信息

Farley P J

出版信息

Health Serv Res. 1986 Dec;21(5):587-616.

PMID:3102402
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1068977/
Abstract

National survey data were used to describe and analyze the treatment of selected illnesses: hypertension, heart condition, hernia, gynecological infection, menstrual disorder, other gynecological conditions, pneumonia, and urinary tract infection. The number of office visits, the rate of diagnostic testing, the average charge, and the use of inpatient and outpatient hospital services were analyzed in an econometric model of treatment. Differences in the treatment of patients with similar illnesses were associated with comprehensive insurance, the availability of hospital and physician resources, and other economic considerations. There was also evidence that hospital and ambulatory services were substituted for each other, as a result of economic as well as medical considerations.

摘要

国家调查数据用于描述和分析特定疾病的治疗情况

高血压、心脏病、疝气、妇科感染、月经失调、其他妇科疾病、肺炎和尿路感染。在一个治疗计量模型中分析了门诊就诊次数、诊断检测率、平均费用以及住院和门诊医院服务的使用情况。患有相似疾病的患者在治疗上的差异与综合保险、医院和医生资源的可获得性以及其他经济因素有关。还有证据表明,出于经济和医疗方面的考虑,医院服务和门诊服务相互替代。