Department of Health Economics, School of Public Health, Fudan University, Shanghai, China.
Key Laboratory of Health Technology Assessment (Fudan University), Ministry of Health, Shanghai, China.
BMC Health Serv Res. 2023 Jul 17;23(1):761. doi: 10.1186/s12913-023-09774-0.
Price differences of medical services across regions may affect equity in health financing. This study aimed to estimate the spatial price index of medical services to measure price levels across regions in the Yangtze River Delta, China.
Gini-Éltetö-Köves-Szulc method and minimum spanning tree method based on the purchasing power parities were used in this study.
According to the Gini-Éltetö-Köves-Szulc method, Shanghai and Anhui province had price levels that are 127.55% and 103.45% respectively of the price level in Zhejiang province, whereas in Jiangsu medical services were priced at 92.71% of that in Zhejiang province. The spatial price index of medical services in the Yangtze River Delta based on the minimum spanning tree method provided similar results.
Regions in the Yangtze River Delta had significant gaps in medical services price levels. And the price levels tended to not correlate with socioeconomic levels. It is necessary to promote the regional coordination of medical services price and better achieve equity in health.
医疗服务的地区价格差异可能会影响卫生筹资公平性。本研究旨在估算医疗服务的空间价格指数，以衡量中国长三角地区各地区的价格水平。
本研究采用基于购买力平价的基尼-埃尔特托-考夫斯-舒尔茨方法和最小生成树方法。
根据基尼-埃尔特托-考夫斯-舒尔茨方法，上海和安徽省的价格水平分别为浙江省的 127.55%和 103.45%，而江苏省的医疗服务价格为浙江省的 92.71%。基于最小生成树方法的长三角医疗服务空间价格指数提供了类似的结果。
长三角地区的医疗服务价格水平存在显著差距。而且价格水平与社会经济水平没有相关性。有必要促进医疗服务价格的区域协调，更好地实现卫生公平。
