Bonk R J, Myers M J, McGhan W F
Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy and Science, Pennsylvania, USA.
Pharmacoeconomics. 1995 Jun;7(6):534-42. doi: 10.2165/00019053-199507060-00007.
The US, like many countries, has turned its public focus onto its healthcare system, with drug prices drawing particular attention. Expenditure trends indicate that drugs do not represent a large portion of the overall healthcare picture; the typical US consumer, however, feels these costs more personally because large portions of outpatient drugs in the US are purchased with out-of-pocket funds. Using data trends for US expenditures, we contrasted projections in the year 2000 under the current US system relative to a strategic policy with full coverage of prescription drugs. Under this proposed scenario, drugs still captured just a small portion of overall healthcare expenditures, but with major shifting to private insurance and government programmes. Thus, as society increasingly views some level of healthcare as a basic human right, effective policies for the healthcare system--including the drug sector--must balance competing regulatory and market pressures.
与许多国家一样,美国已将公众关注焦点转向其医疗保健系统,药品价格尤其受到关注。支出趋势表明,药品在整体医疗保健情况中所占比例不大;然而,典型的美国消费者个人对这些成本感受更深,因为美国大部分门诊药品是用自付资金购买的。利用美国支出的数据趋势,我们对比了2000年在美国现行系统下的预测与一项全面覆盖处方药的战略政策下的预测。在这个提议的情景下,药品在整体医疗保健支出中仍只占一小部分,但主要转向了私人保险和政府项目。因此,随着社会越来越将某种程度的医疗保健视为一项基本人权,医疗保健系统(包括药品部门)的有效政策必须平衡相互竞争的监管和市场压力。