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首页> 外文期刊>Cost Effectiveness Resource Allocation >Effects of a reimbursement change and travel times on the delivery of private and public radiology services in Norway: a register-based longitudinal study of Norwegian claims data
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Effects of a reimbursement change and travel times on the delivery of private and public radiology services in Norway: a register-based longitudinal study of Norwegian claims data

机译：报销变更和旅行时间对挪威私立和公共放射服务提供的影响：基于挪威索赔数据的寄存器纵向研究

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Background:The variation in the impact of the 2008 reimbursement change for Norwegian radiology providers, depending on the travel times to private and public providers in different municipalities, was examined. The activity-based fund allocation for radiology providers was reduced from approximately 50% to 40%, which was compensated by an increased basic grant. The hypothesis was that the Norwegian population would be affected by the reimbursement change unevenly depending on their distances to different types of the providers.Methods:The study of the effect of the reimbursement change and travel time difference between private and public radiology providers?in Norway (Time_difference) on the number of the services was performed using fixed-effects regressions applied to panel data at the municipality level with monthly observations for the period 2007-2010.Results:After the reimbursement change, the number of private services decreased more than the number of public services. Private services declined after 2008, but the absolute value of the effect was smaller as the Time_difference became greater. The number of public services increased as the Time_difference grew. The total number of services decreased until the Time_difference was equal to 40?min and increased for time differences greater than 40?min.Conclusions:The messages for policymakers are as follows. Populations that only had private providers nearby were more affected by the reimbursement change in terms of a reduced number of services. The reimbursement change contributed to the reallocation of patients from private to public providers. The difference between the centralities of municipalities in their consumption patterns was reduced and the difference between different Regional Health Authorities was increased due to the reimbursement change.? The Author(s) 2019.
机译：背景：审查了2008年挪威放射学提供者对私营和公共提供商在不同城市的旅行时间对挪威放射学提供者的影响的变化。放射学提供者的基于活动的基础资金分配从大约50％降低到40％，这通过增加的基本补助金来补偿。假设是，挪威人口将受到报销变化不均匀的影响，这取决于他们对不同类型的提供者的距离。方法：私人和公共放射提供商之间的报销变化和旅行时间差异的研究？在挪威（time_difference）关于服务的数量，使用2007 - 2010年期间的每月观测到于市政级别的固定效应回归来执行。结果：偿还变更后，私人服务的数量减少了超过公共服务人数。私人服务在2008年后下降，但效果的绝对值较小，因为时间_difference更大。随着时间的增加，公共服务的数量增加。在Time_difference等于40Ω分钟之前减少的服务总数并增加时间差异大于40？min.Conclusions：政策制定者的消息如下。只有附近的私人提供商只有在减少服务数量的情况下，私营提供商的人口才会受到更大的影响。报销变更有助于将私有患者的重新分配给公共提供商。降低了从消费模式的城市集中资料之间的差异，不同区域卫生当局之间的差异因报销变革而增加。？作者2019年。

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