Kekki P
Med Care. 1982 Aug;20(8):797-808. doi: 10.1097/00005650-198208000-00004.
The total utilization rate of ambulatory illness-related physician services in Finland is higher in big urban health center areas than in rural areas. When only the health center physician utilization rates were studied the finding was opposite. A notable finding related to the impact of the national health planning were the surprisingly equal average utilization rates of public sector health services (health center physician and general hospital outpatient services combined) in both areas. In fact, use of cheaper public services was greater in rural than in urban areas. The difference in total use rates was almost entirely due to the larger use of more expensive private physician services in urban areas. At present, there is a great pressure for increasing the supply of health center services in urban areas to the same level as in rural districts. One of the fundamental questions seems to be the pricing of the two service sectors--public and private.
芬兰大城市卫生中心地区门诊疾病相关医生服务的总利用率高于农村地区。仅研究卫生中心医生利用率时，结果则相反。与国家卫生规划影响相关的一个显著发现是，两个地区公共部门卫生服务（卫生中心医生服务和综合医院门诊服务）的平均利用率惊人地持平。事实上，农村地区对成本较低的公共服务的使用多于城市地区。总使用率的差异几乎完全是由于城市地区对成本较高的私人医生服务的使用更多。目前，城市地区存在巨大压力，要将卫生中心服务的供应增加到与农村地区相同的水平。一个基本问题似乎是公共和私人这两个服务部门的定价。
