Arnett R H, Cowell C S, Davidoff L M, Freeland M S
Health Care Financ Rev. 1985 Spring;6(3):1-26.
Health expenditure growth is projected to moderate considerably during 1983-90, reaching $660 billion in 1990 and consuming over 11 percent of the gross national product. During 1973-83, spending for health care more than tripled, increasing from $103 billion to $355 billion and moving from 7.8 percent to 10.8 percent of the gross national product. Government spending for health care is projected to reach $284 billion by 1990, with the Federal Government paying 73 percent. The Medicare Prospective Payment System, private sector initiatives, and State and local government actions are providing incentives to substantially increase competition and cost effectiveness in health care provision.
预计1983 - 1990年期间医疗支出增长将大幅放缓，到1990年达到6600亿美元，占国民生产总值的11%以上。1973 - 1983年期间，医疗保健支出增长了两倍多，从1030亿美元增至3550亿美元，占国民生产总值的比例从7.8%升至10.8%。预计到1990年政府医疗保健支出将达到2840亿美元，其中联邦政府支付73%。医疗保险预期支付系统、私营部门的举措以及州和地方政府的行动正在为大幅提高医疗保健服务的竞争和成本效益提供激励措施。
