Freeland M S, Schendler C E
Health Care Financ Rev. 1984 Spring;5(3):1-68.
Health care spending in the United States more than tripled between 1972 and 1982, increasing from $94 billion to $322 billion. This growth substantially outpaced overall growth in the economy. National health expenditures are projected to reach approximately $690 billion in 1990 and consume roughly 12 percent of the gross national product. Government spending for health care is projected to reach $294 billion by 1990, with the Federal Government paying 72 percent. The Medicare prospective payment system and increasing competition in the health services sector are providing incentives to integrate clinical practice patterns with improved management practices.
1972年至1982年间，美国的医疗保健支出增长了两倍多，从940亿美元增至3220亿美元。这一增长速度大大超过了经济的总体增长速度。预计1990年全国医疗保健支出将达到约6900亿美元，约占国民生产总值的12%。预计到1990年政府的医疗保健支出将达到2940亿美元，其中联邦政府支付72%。医疗保险预期支付系统以及医疗服务部门竞争的加剧，正在促使临床实践模式与改进的管理方法相结合。
