WHY ARE HOSPITAL PRICES RISING
WHY ARE HOSPITAL PRICES RISING
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医院价格为何上涨
DOI：
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发表时间：
2013
期刊：
影响因子：
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通讯作者：
J. Dugan
中科院分区：
文献类型：
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作者：
V. Ho;J. Dugan
美国医疗保健支出的大幅增长伴随着医院治疗私人保险患者的价格迅速上涨。我们使用的数据，按付款人类型的收入，以确定2000年至2007年期间在得克萨斯州医院价格上涨的决定因素。大约三分之二的价格上涨可以解释为护理费用的增加，这可能反映了技术的发展。这种费用增加的部分原因也可能是病人人数增加，因为病情不太严重的病人越来越多地在独立的设施中接受治疗。我们几乎没有发现证据表明医院价格上涨是由于医院市场竞争加剧，也没有确凿的证据表明医院正在提高价格，以应对医疗保险，医疗补助或无保险/自费患者的低报销。我们可以用医院、病人和市场的特点来解释观察到的价格上涨的一半以上，但还有相当大的一部分仍然无法解释。找到控制医院价格上涨的最佳政策将需要更多的研究，以确定在这个市场上决定价格的所有基本因素。
The substantial rise in health care expenditures that has occurred in the U.S. has been accompanied by rapid increases in the prices that hospitals receive for treating privately insured patients. We use data on revenues by payer type to identify the determinants of rising hospital prices in Texas between 2000 and 2007. Approximately two-thirds of the increase in prices can be explained by increases in the costs of care, which may reflect technology growth. Part of this cost increase could also be attributable to sicker patient populations, as patients with less severe conditions are increasingly treated in freestanding facilities. We find little evidence that rising hospital prices are attributable to increased hospital market competition, and no firm evidence that hospitals are raising prices in response to lower reimbursement from Medicare, Medicaid, or uninsured/self-pay patients. We can explain more than half of the observed price increase with hospital, patient, and market characteristics, but a sizable portion remains unexplained. Finding the optimal policies for controlling hospital price increases will require additional research to identify all of the underlying factors determining prices in this market.