Weil Thomas P
Manag Care Interface. 2002 Aug;15(8):27-32, 53.
Americans want less-bureaucratic, higher-quality, and above all, less-costly health care. Reducing the number of nurses, pharmacists, and others who care for patients is not a viable solution; fiscal constraints, which reduce fixed costs, are superior to other options in containing health costs. To this end, it is imperative that the U.S. reimbursement system be simplified. Posing as a major encumbrance are some deeply vested, highly placed self-interests that obstruct implementation of a partly private, partly public reimbursement system that would better serve patients, providers, and insurers. In part I of this two-part article, the author describes some of the drivers that are pushing health care costs to higher levels.
美国人希望获得官僚作风更少、质量更高，尤其是成本更低的医疗保健服务。减少护士、药剂师及其他护理患者人员的数量并非可行的解决方案；削减固定成本的财政限制在控制医疗成本方面比其他选择更具优势。为此，简化美国的报销系统势在必行。一些根深蒂固、位高权重的既得利益者构成了主要障碍，他们阻碍了部分私立、部分公立报销系统的实施，而这样的系统能更好地服务患者、医疗服务提供者和保险公司。在这篇分两部分的文章的第一部分中，作者描述了一些推动医疗成本上升的因素。
