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1、中美两国医疗费用控制理论与方法比较研究论著??二次研究中国循证医学杂志2009,9(11):1193～1199中美两国医疗费用控制理论与方法比较研究11122郑小华胡锦梁钱恩奎翟清华蒋超1.四川省医学科学院（四川省人民医院）卫生政策与信息技术研究所（成都610072）；2.成都中医药大学管理学院（成都610075）摘要目的医疗费用增长是一个国际性问题，通过比较中美医疗费用控制的理论和方法，寻找出适应于我国医疗费用控制的策略，服务于我国正在进行的新一轮医疗卫生体制改革。方法根据检索策略搜索文献，而后按照纳入排除标准筛选文献，并用文献定量分类表提取相关信息
2、进行描述性统计分析。结果在对医疗费用的控制问题上，美国学术界呈现出持续、稳步增高的关注趋势，而中国学术界则显示出较大的波动性；在对医疗费用增长原因、医疗费用增长的合理性以及所主张的医疗费用控制的具体方法和策略上，中美两国学者存在较大差异。结论医疗费用控制目的源于不同的发展基础，而且利益主体确定医疗费用控制主体。我国应因地制宜的开发有效的费用控制策略与方法。关键词医疗费用；费用增长；费用控制；比较研究AComparativeStudyonTheoriesandMethodsofMedicalExpenditureControlbetweenChinaan
3、dtheUS11122ZHENGXiao-hua,HUJin-liang,QIANEn-kui,ZHAIQin-hua,JIANGChao1.HealthPolicyandInformationTechnologyInstituteinSichuanMedicalAcademyandSichuanProvincialPeople’sHospital,Chengdu610072,China2.SchoolofManagementinChengduUniversityofTCM,Chengdu610075,ChinaAbstractObjectiveThe
4、risingmedicalexpenditureisaninternationalproblem.BycomparingtheoriesandmethodsofmedicalexpenditurecontrolbetweenChinaandtheUS,thispaperaimstofindoutthemedicalexpenditurestrategiesfittingforourcountryandtohelpwiththenewroundofmedicalandhealthsystemreform.MethodsThisevidence-based
5、researchsearchedforliteraturesusingthesearchstrategyandscreenedliteraturesaccordingtoinclusionandexcludingcriteria.Usefulinformationintheliteratureswasextractedthroughquantitativeanalysisofliteraturetablesanddescriptivestatisticalanalysis.ResultsWefoundthattheUSacademiashowedasu
6、stainableandsteadytrendofincreasedconcernonthemedicalexpenditurecontrol,whiletheChineseacademiashowedalargervolatilityonit.Thereweresomeobviousdifferencessuchasreasonsforexpenditureincrease,thereasonablenessofthemedicalexpenditureincrease,andthespecificmethodsandstrategiesofthem
7、edicalexpenditurecontrolbetweenChineseandAmericanauthors.ConclusionOntheonehand,thepurposeofmedicalexpenditurecontrolisbasedonthedifferentstagesofdevelopment.Ontheotherhand,themaininterestgroupdeterminesthemainbodywhoisresponsibleforthemedicalexpenditurecontrol.Accordingtoournat
8、ionalcontext,Chinashoulddevelopeffectivestrateg
