Culyer A J
Health Care Financ Rev. 1989 Dec;Spec No(Suppl):21-32.
Health care cost containment is not in itself a sensible policy objective, because any assessment of the appropriateness of health care expenditure in aggregate, as of that on specific programs, requires a balancing of costs and benefits at the margin. International data on expenditures can, however, provide indications of the likely impact on costs and expenditures of structural features of health care systems. Data from the Organization for Economic Cooperation and Development for both European countries and a wider set are reviewed, and some current policies in Europe that are directed at controlling health care costs are outlined.
控制医疗保健成本本身并非明智的政策目标，因为对总体医疗保健支出是否合适的任何评估，就像对特定项目的评估一样，都需要在边际上权衡成本和收益。然而，国际支出数据可以提供有关医疗保健系统结构特征对成本和支出可能产生影响的指标。本文回顾了经济合作与发展组织（OECD）提供的欧洲国家及更广泛范围的数据，并概述了欧洲目前一些旨在控制医疗保健成本的政策。
