Yuen P P
Department of Management, Hong Kong Polytechnic University.
Health Care Manag. 1995 Oct;2(1):191-8.
Although managed care may be more effective than fee-for-service in containing health care costs in the United States, it is less effective in countries with a national health service. In Hong Kong, costs have been contained despite the fact that 95% of general practitioners still practice on a solo, fee-for-service basis. The author describes in detail how the system of tax-based hospitals guarantees universal access without escalating costs.
尽管在美国，管理式医疗在控制医疗成本方面可能比按服务收费更有效，但在拥有国家医疗服务体系的国家，其效果较差。在香港，尽管95%的全科医生仍以独立的按服务收费方式执业，但成本仍得到了控制。作者详细描述了基于税收的医院系统如何在不增加成本的情况下保证全民可及性。
