Understanding recent trends in Swiss ambulatory care utilization when out-of-pocket payment is minimal.

Sozial- und Praventivmedizin Pub Date : 2006-01-01 DOI:10.1007/s00038-006-5112-8

I Bridevaux Peytremann, B Santos-Eggimann

引用次数: 1

Abstract

Objective: To examine trends in ambulatory care utilization when individuals face almost no financial barriers to health care.

Methods: Observational study of insurance data. Adults with minimal deductible were included. Ambulatory care visits and costs were measured from 1997 to 2002.

Results: Mean ambulatory care costs/insuree increased from 1292.- to 1790.- CHF, corresponding to higher increases in drug costs (+61.7 %) than services costs (+24.3 %). The proportion of visits to generalists decreased while those to hospital outpatient services increased.

Conclusions: In a demographically stable population of insurees, increases in ambulatory care costs were due neither to growth in physicians' visits nor to increasing physicians' fees per act, but to what was included in or prescribed during the visits.

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了解瑞士门诊护理利用的最新趋势，当自付费用最低。

目的:研究当个人在医疗保健方面几乎没有经济障碍时，门诊护理利用的趋势。方法:对保险资料进行观察研究。最低免赔额的成年人也包括在内。从1997年到2002年测量了门诊就诊次数和费用。结果:平均门诊费用/参保人数从1292增加。-到1790年。-瑞士法郎，对应于药品成本(+ 61.7%)高于服务成本(+ 24.3%)的增长。看全科医生的比例下降，而看医院门诊的比例上升。结论:在人口统计稳定的参保人群中，门诊护理费用的增加既不是由于医生就诊次数的增加，也不是由于医生每次就诊费用的增加，而是由于就诊期间所包含的内容或规定的内容。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Sozial- und Praventivmedizin

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