CAJ | 학술논문

　　目的：研究医疗服务项目价格的变化能否实现医疗费用的控制。方法：趋势分析、相关性分析、结构分析和威尔科克森符号秩检验等统计分析技术。结果：医疗服务项目价格管理最少可以引导医疗费用的控制。结论：（1）医疗行业存在广泛的交叉补贴；（2）药费和检查费与医药总费用关系密切，但实现医药费用控制未必是直接降低药费或检查费；（3）没有证据表明药品价格降低可以降低患者药费用或药费负担。
　　목적：연구의료복무항목개격적변화능부실현의료비용적공제。방법：추세분석、상관성분석、결구분석화위이과극삼부호질검험등통계분석기술。결과：의료복무항목개격관리최소가이인도의료비용적공제。결론：（1）의료행업존재엄범적교차보첩；（2）약비화검사비여의약총비용관계밀절，단실현의약비용공제미필시직접강저약비혹검사비；（3）몰유증거표명약품개격강저가이강저환자약비용혹약비부담。
Objective: To analyze whether the changes of medical service prices could implement medical expenditure control. Methods: Trend analysis, relevance analysis, structure analysis and Wilcoxon signed-rank test are applied. Results: Price management of medical service can at least lead the medical expenditure control. Conclusion: (1)Cross-subsidization is widely employed in medical process; (2)though medicine expenditure and examination expenditure are closely connected with gross medical-expenditure, controlling medical-expenditure does not mean cutting medicine expenditure or examination expenditure; (3)there is no evidence to prove lower medicine expenditure would help to cut-down or alleviate patients’ burden.