Fraser I
Agency for Health Care Policy and Research, Rockville, MD 20852, USA.
Health Care Financ Rev. 1995 Spring;16(3):151-75.
For over a decade, New York State has used hospital rate regulation (the New York Prospective Hospital Reimbursement Methodology [NYPHRM]) as a policy tool to achieve three objectives: containing costs, supporting financially stressed hospitals, and financing access to care for the uninsured. This case study of NYPHRM suggests that the regulatory approach, if pursued with vigor, can achieve any one of these goals. On the other hand, the New York experience also shows that these are competing goals, and that achieving all of them over a period of time can prove to be difficult.
十多年来，纽约州一直将医院费率监管（纽约前瞻性医院报销方法[NYPHRM]）作为一种政策工具，以实现三个目标：控制成本、支持财务紧张的医院以及为无保险者提供医疗服务筹资。对NYPHRM的这项案例研究表明，如果大力推行这种监管方法，能够实现这些目标中的任何一个。另一方面，纽约的经验也表明，这些目标相互冲突，而且在一段时间内实现所有目标可能会很困难。
