关于居民经济承受能力的医疗费用控制标准-的论证研究.pdfVIP

结论：（1）“基于居民经济承受能力的医疗费用控制标准”，具有牢靠的理论 建立依据，符合经济学中的均衡思想，体现了居民的经济承受能力，在理论上成 立。（2 ）依据这套费用控制方法建立的均衡计量经济模型，拟合方法正确，结果 可信。（3 ）收支结余曲线（Y2 ）准确地反映了不同居民的经济承受力。（4 ）均 衡交点具有较好的稳定性。 ( 5 ) “费用控制标准”与居民的心理承受力有较高 的一致性，且能被最低收入人群所接受。（6 ）均衡交点有良好的区分性，能敏感 地区分城乡之间的差异。（7 ）交点敏感、准确地区分出了前后组由于居民收支结 余的不同带来的灾难性卫生支出发生率、卫生服务可及性和健康公平的差异。（8 ） 建立费用控制均衡模型所需的指标切实可得，测算方法简便易操作，有良好的操 作性。 综上，本论证研究认为郑小华教授提出的“基于居民经济承受能力的医疗费 用控制标准”在理论上成立，建立的“均衡模型”正确、结果可信，将交点处居 民医疗消费支出占收入的比值作为人群的费用控制标准合理、科学，具备了推广 运用的科学基础，在实际应用中将能更趋完善。 关键词： 居民经济承受能力 医疗费用控制标准 论证 6 Abstract Objective: The research was aimed to demonstrate the rationality 、scientificity and feasibility of the “Medical expenditure control Standard based on residents’ affordability” which is a new theory and method for the medical expenditure control, in order to provide a basis for it’s improvement and application. Methods: The research surrounds the center thesis to demonstrate the “Medical expenditure control Standard based on residents’ affordability”. The following three methods are mainly used: (1) literature analysis method and logical reasoning for demonstrating the “Medical expenditure control Standard based on residents’ affordability” is right or wrong in theory.(2) 1. econometrics model checkout method： for observing the data distribution, rebuilding the mathematical model by nonlinear fitting method and evaluating the correctness of The equilibrium model. 2. contrastive studies method: for demonstrating the accuracy of the resident’ surplus (Income-expenses) curve on definition the residents’ affordability for medicine by compared with ELES. 3. To observe the intersection’s va