{"title":"“定额自付”在决定门诊时的相对重要性分析","authors":"T. Sugahara","doi":"10.4091/IKEN.31-31","DOIUrl":null,"url":null,"abstract":"Since\u0007its\u0007introduction,\u0007fixed\u0007amount\u0007out-of-pocket\u0007payment,\u0007whose\u0007main\u0007purpose\u0007 is\u0007to\u0007optimize\u0007mild\u0007outpatients\u0007in\u0007large\u0007hospitals\u0007and\u0007to\u0007share\u0007functions\u0007with\u0007primary\u0007 care\u0007doctors,\u0007has\u0007gradually\u0007expanded\u0007its\u0007scope\u0007of\u0007application.\u0007From\u0007the\u0007point\u0007of\u0007view\u0007 of\u0007the\u0007purpose\u0007of\u0007the\u0007system,\u0007the\u0007fixed\u0007amount\u0007of\u0007out-of-pocket\u0007payment\u0007must\u0007be\u0007at\u0007a\u0007 level\u0007sufficient\u0007to\u0007suppress\u0007the\u0007incentive\u0007to\u0007visit\u0007a\u0007large\u0007hospital,\u0007but\u0007on\u0007the\u0007other\u0007 hand,\u0007it\u0007must\u0007not\u0007greatly\u0007hinder\u0007necessary\u0007consultations\u0007such\u0007as\u0007in\u0007severe\u0007cases. How\u0007to\u0007accept\u0007the\u0007fixed\u0007amount\u0007out-of-pocket\u0007payment\u0007might\u0007be\u0007different\u0007for\u0007 each\u0007individual,\u0007and\u0007how\u0007important\u0007fixed\u0007amount\u0007out-of-pocket\u0007payment\u0007in\u0007comparison\u0007 with\u0007various\u0007other\u0007conditions\u0007has\u0007not\u0007investigated.\u0007We\u0007examined\u0007what\u0007factors\u0007and\u0007 attributes\u0007affect\u0007the\u0007relative\u0007importance\u0007using\u0007conjoint\u0007analysis\u0007based\u0007on\u0007the\u0007data\u0007 collected\u0007from\u0007the\u0007web\u0007survey. As\u0007a\u0007result,\u0007it\u0007was\u0007suggested\u0007that\u0007the\u0007importance\u0007of\u0007the\u0007fixed\u0007amount\u0007of\u0007out-of-pocket\u0007payment\u0007when\u0007deciding\u0007to\u0007see\u0007a\u0007doctor\u0007is（1）there\u0007is\u0007a\u0007gender\u0007difference,（2） the\u0007relative\u0007importance\u0007of\u0007the\u0007elderly\u0007is\u0007low,\u0007and（3）the\u0007relative\u0007importance\u0007 increases\u0007in\u0007the\u0007group\u0007with\u0007low\u0007annual\u0007household\u0007income.","PeriodicalId":117299,"journal":{"name":"Iryo To Shakai","volume":"5 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2021-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"An Analysis of the Relative Importance of “Fixed Amount out-of-Pocket Payment” When Deciding to Visit an Outpatient\",\"authors\":\"T. 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How\\u0007to\\u0007accept\\u0007the\\u0007fixed\\u0007amount\\u0007out-of-pocket\\u0007payment\\u0007might\\u0007be\\u0007different\\u0007for\\u0007 each\\u0007individual,\\u0007and\\u0007how\\u0007important\\u0007fixed\\u0007amount\\u0007out-of-pocket\\u0007payment\\u0007in\\u0007comparison\\u0007 with\\u0007various\\u0007other\\u0007conditions\\u0007has\\u0007not\\u0007investigated.\\u0007We\\u0007examined\\u0007what\\u0007factors\\u0007and\\u0007 attributes\\u0007affect\\u0007the\\u0007relative\\u0007importance\\u0007using\\u0007conjoint\\u0007analysis\\u0007based\\u0007on\\u0007the\\u0007data\\u0007 collected\\u0007from\\u0007the\\u0007web\\u0007survey. As\\u0007a\\u0007result,\\u0007it\\u0007was\\u0007suggested\\u0007that\\u0007the\\u0007importance\\u0007of\\u0007the\\u0007fixed\\u0007amount\\u0007of\\u0007out-of-pocket\\u0007payment\\u0007when\\u0007deciding\\u0007to\\u0007see\\u0007a\\u0007doctor\\u0007is（1）there\\u0007is\\u0007a\\u0007gender\\u0007difference,（2） the\\u0007relative\\u0007importance\\u0007of\\u0007the\\u0007elderly\\u0007is\\u0007low,\\u0007and（3）the\\u0007relative\\u0007importance\\u0007 increases\\u0007in\\u0007the\\u0007group\\u0007with\\u0007low\\u0007annual\\u0007household\\u0007income.\",\"PeriodicalId\":117299,\"journal\":{\"name\":\"Iryo To Shakai\",\"volume\":\"5 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-07-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Iryo To Shakai\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4091/IKEN.31-31\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Iryo To Shakai","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4091/IKEN.31-31","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
Sinceitsintroduction,fixedamountout-of-pocketpayment,whosemainpurpose istooptimizemildoutpatientsinlargehospitalsandtosharefunctionswithprimary caredoctors,hasgraduallyexpandeditsscopeofapplication.Fromthepointofview ofthepurposeofthesystem,thefixedamountofout-of-pocketpaymentmustbeata levelsufficienttosuppresstheincentivetovisitalargehospital,butontheother hand,itmustnotgreatlyhindernecessaryconsultationssuchasinseverecases. Howtoacceptthefixedamountout-of-pocketpaymentmightbedifferentfor eachindividual,andhowimportantfixedamountout-of-pocketpaymentincomparison withvariousotherconditionshasnotinvestigated.Weexaminedwhatfactorsand attributesaffecttherelativeimportanceusingconjointanalysisbasedonthedata collectedfromthewebsurvey. Asaresult,itwassuggestedthattheimportanceofthefixedamountofout-of-pocketpaymentwhendecidingtoseeadoctoris（1）thereisagenderdifference,（2） therelativeimportanceoftheelderlyislow,and（3）therelativeimportance increasesinthegroupwithlowannualhouseholdincome.
本文章由计算机程序翻译，如有差异，请以英文原文为准。
An Analysis of the Relative Importance of “Fixed Amount out-of-Pocket Payment” When Deciding to Visit an Outpatient
Sinceitsintroduction,fixedamountout-of-pocketpayment,whosemainpurpose istooptimizemildoutpatientsinlargehospitalsandtosharefunctionswithprimary caredoctors,hasgraduallyexpandeditsscopeofapplication.Fromthepointofview ofthepurposeofthesystem,thefixedamountofout-of-pocketpaymentmustbeata levelsufficienttosuppresstheincentivetovisitalargehospital,butontheother hand,itmustnotgreatlyhindernecessaryconsultationssuchasinseverecases. Howtoacceptthefixedamountout-of-pocketpaymentmightbedifferentfor eachindividual,andhowimportantfixedamountout-of-pocketpaymentincomparison withvariousotherconditionshasnotinvestigated.Weexaminedwhatfactorsand attributesaffecttherelativeimportanceusingconjointanalysisbasedonthedata collectedfromthewebsurvey. Asaresult,itwassuggestedthattheimportanceofthefixedamountofout-of-pocketpaymentwhendecidingtoseeadoctoris（1）thereisagenderdifference,（2） therelativeimportanceoftheelderlyislow,and（3）therelativeimportance increasesinthegroupwithlowannualhouseholdincome.
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