Burner S T, Waldo D R
Office of National Health Statistics, Baltimore, MD 21244, USA.
Health Care Financ Rev. 1995 Summer;16(4):221-42.
Using 1993 as a baseline and assuming that current laws and practices continue, the authors project U.S. health expenditures through the year 2005. Annual spending growth has declined since 1990, and, in the scenario reported here, that trend continues in 1994. Growth of health spending increases thereafter, but remains below the average experience of the past decade. Even so, health expenditures grow faster than the gross domestic product (GDP), and by 2005, account for 17.9 percent of the GDP. Unless the system changes, Medicare and Medicaid are projected to pay for an increasing share of total spending during the next decade.
以1993年作为基线,并假设现行法律和做法持续不变,作者预测了到2005年美国的医疗支出。自1990年以来,年度支出增长一直在下降,并且在这里报告的情景中,这一趋势在1994年仍在持续。此后医疗支出的增长有所增加,但仍低于过去十年的平均水平。即便如此,医疗支出的增长速度仍快于国内生产总值(GDP),到2005年,将占GDP的17.9%。除非医疗体系有所改变,预计在未来十年,医疗保险和医疗补助将支付总支出中越来越大的份额。