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患者费用与急性小儿创伤学服务需求

User charges and the demand for acute paediatric traumatology services.

作者信息

Ahlamaa-Tuompo J, Linna M, Kekomäki M

机构信息

Hospital for Children and Adolescents, University of Helsinki, Finland.

出版信息

Public Health. 1998 Sep;112(5):327-9. doi: 10.1038/sj.ph.1900493.

DOI:10.1038/sj.ph.1900493
PMID:9807930
Abstract

The city of Helsinki in 1991 introduced moderate patient charges for certain acute paediatric services. This provided the framework for a natural, partially controlled experiment on price elasticity of demand for acute paediatric trauma services. A cross-sectional time-series analysis of a partially controlled natural experiment was done for the period 1989-1994. The findings suggest that moderate user charges may reduce the demand for paediatric trauma services measurably. The effect was diagnosis-specific and, on average, stronger in older than in pre-school children. It probably had a negligible impact on long-term health.

摘要

1991年,赫尔辛基市开始对某些急性儿科服务收取适度的患者费用。这为一项关于急性儿科创伤服务需求价格弹性的自然、部分可控实验提供了框架。对1989 - 1994年期间进行的部分可控自然实验进行了横断面时间序列分析。研究结果表明,适度的用户收费可能会显著降低对儿科创伤服务的需求。这种影响因诊断而异,平均而言,对大龄儿童的影响比对学龄前儿童的影响更大。它可能对长期健康的影响微乎其微。

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