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在保险体系内的保健服务必须走向限额,但解决供需矛盾还缺良策。提高靶人群中某疾病的危险率看来是降低最终费用的最有效方法。此法可使保健系统提供平素达不到的医疗服务。本文提出一项估价危险率的技术,采用适用于保健管理人员和临床工作者的罗伦氏曲线(Lorenz cu-rve),并以宫颈细胞学普查为例说明如何用本法选出变量指标以增大受益人数并减少被查人数。
Health services within the insurance system must go to a limit, but there is still a lack of solutions to resolve the contradiction between supply and demand. Increasing the risk of a disease in the target population appears to be the most effective way to reduce the final cost. This method allows the health care system to provide medical services that are not always available. This paper proposes a technique for assessing risk rates, using Lorenz cu-rve for health care managers and clinicians, and using a cervical cytology survey as an example of how to use this method to select variable indicators. Increase the number of beneficiaries and reduce the number of people being investigated.