Ozminkowski R J, Gaumer G, Coit A J, Gabay M
Abt Associates, Inc., Bethesda, MD 20814, USA.
Health Care Financ Rev. 1994 Winter;16(2):13-43.
The Clinton Administration has implied that short-run failures to control health care costs may cause a reexamination of wage and price controls as elements of comprehensive health care reform. The most recent imposition of mandatory wage and price controls was the Economic Stabilization Program (ESP) of the early 1970s. We analyze trends in hospitals' economic behavior and utilization before, during, and after ESP. We also review the relevant literature to estimate ESP's impact, considering other factors that influence hospital behavior. Noting important changes in the hospital industry since the 1970s, we conclude that ESP had limited effect and that similar controls would have little effect today.
克林顿政府暗示,短期内控制医疗成本的失败可能会导致对工资和物价管制进行重新审视,将其作为全面医疗改革的组成部分。最近一次实施强制性工资和物价管制是在20世纪70年代初的经济稳定计划(ESP)。我们分析了经济稳定计划实施之前、期间和之后医院的经济行为及利用率趋势。我们还回顾了相关文献,以评估经济稳定计划的影响,同时考虑到其他影响医院行为的因素。鉴于自20世纪70年代以来医院行业发生的重大变化,我们得出结论,经济稳定计划的效果有限,如今类似的管制措施作用也不大。