Bishop C E, Karon S L
Home Health Care Serv Q. 1989;10(1-2):139-75. doi: 10.1300/J027v10n01_10.
During the period 1980 to 1985, growth in the number of persons served by Medicare home health was the largest source of growth in Medicare home health expenditures. Population growth was in part responsible for the increase in beneficiaries using Medicare home health, but more important was growth in the number of persons served per 1000 elderly population. Cost per person served increased only moderately once input price changes are accounted for. Nevertheless, we recommend that cost-containment efforts focus on cost per visit and per case, because restrictions on persons served are likely to limit Medicare beneficiaries' access to needed, covered care.
在1980年至1985年期间，医疗保险家庭健康服务对象数量的增长是医疗保险家庭健康支出增长的最大来源。人口增长在一定程度上导致了使用医疗保险家庭健康服务的受益人数增加，但更重要的是每千名老年人口中接受服务的人数增长。一旦考虑到投入价格变化，人均服务成本仅适度增加。尽管如此，我们建议成本控制措施应集中在每次就诊和每个病例的成本上，因为对服务对象的限制可能会限制医疗保险受益人获得所需的承保护理。
