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运用课题组研制的4类增长率计算方法,测算了1991—1998年我国中等发达地区医疗费用合理增长率,并将其与医疗费用、次均医疗费用实际增长率比较。结果表明,在1991—1998年期间,以中等发达地区为样本:(1)各样本地区的医疗费用总量增长基本都在合理增长的范围内,没有证据表明医疗费用总量呈现过快增长;(2)与此同时,样本地区的次均医疗费用增长迅速,成为我国医疗费用变化的新特征。与之相伴,居民的医疗需求呈现大幅度萎缩态势。研究建议,在目前阶段,合理控制医疗费用的重点应放在次均医疗费用上。
Using the four types of growth rate calculation methods developed by the research group, the reasonable growth rate of medical expenses in the moderately developed regions in China during 1991-1998 was measured and compared with the actual growth rate of medical expenses and the average medical expenses. The results showed that during the period from 1991 to 1998, samples were taken as samples of moderately developed regions: (1) The total amount of medical expenses in each sample area was basically within a reasonable range of growth, and there was no evidence that the total medical expenses showed excessive growth; (2) At the same time, the average medical expenses in the sample area grew rapidly and became a new feature of the change in medical expenses in China. Accompanied by this, the medical needs of the residents have been drastically shrinking. The study suggests that, at the current stage, the focus of reasonable control over medical expenses should be on the average medical cost.