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[所提供的补充医疗程序对健康保险影响的卫生经济分析]

[Health economic analysis of the effects of offered complementary medical procedures on health insurance].

作者信息

Sommer J H, Bürgi M

机构信息

Institut für Volkswirtschaft, Wirtschaftswissenschaftliches Zentrum der Universität Basel.

出版信息

Schweiz Med Wochenschr Suppl. 1994;62:13-7.

PMID:8073235
Abstract

A randomized trial is being conducted to determine whether the offer of unconventional medicine as a health benefit by the health insurance funds has a substitutional or additional effect on the use of conventional medicine. For this purpose, a stratified random sample of 5000 enrollees of the largest Swiss health insurance fund is receiving, as an experiment group, an insurance supplement for unconventional medicine during the next three years free of charge. The rest of the insured population with comparable health insurance but without coverage of unconventional medicine is the control group. The third group to be examined are insured persons who have already chosen the unconventional health insurance supplement on their own account. Data of inpatient and outpatient costs and use of conventional and unconventional health services will be collected and analyzed. The third group with self-selected insurance supplement for unconventional medicine will be compared systematically with the other two groups. A further random sample of persons from each of the three groups will be interviewed at different points of time about their health perceptions.

摘要

一项随机试验正在进行,以确定医疗保险基金提供非常规医学作为一项健康福利,对传统医学的使用是具有替代作用还是额外作用。为此,从瑞士最大的医疗保险基金的5000名参保人中选取一个分层随机样本,作为实验组,在接下来的三年里免费获得一份非常规医学的保险补贴。其余拥有类似医疗保险但没有非常规医学保险覆盖的参保人群为对照组。第三组接受检查的是那些已经自行选择了非常规健康保险补贴的被保险人。将收集并分析住院和门诊费用数据以及传统和非常规健康服务的使用情况。将对自行选择非常规医学保险补贴的第三组与其他两组进行系统比较。还将从这三组中的每一组中进一步随机抽取人员样本,在不同时间点就他们对健康的认知进行访谈。

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