Trude Sally, Ginsburg Paul B
Issue Brief Cent Stud Health Syst Change. 2002 Sep(55):1-4.
Projected cuts in Medicare physician payments raise serious concerns that Medicare beneficiaries will lose access to needed physician services. A study by the Center for Studying Health System Change (HSC) shows growing physician access problems among Medicare and privately insured patients. Patients have the most difficulties obtaining care from specialists and in certain communities. Proposals to increase Medicare fees across the board may prevent deterioration of access for Medicare beneficiaries but are unlikely to address system-wide access problems that vary by specialty and market.
预计医疗保险医生支付费用的削减引发了严重担忧，即医疗保险受益人将无法获得所需的医生服务。医疗系统变革研究中心（HSC）的一项研究表明，医疗保险患者和私人保险患者获得医生服务的问题日益严重。患者在从专科医生处获得治疗以及在某些社区获得治疗方面困难最大。全面提高医疗保险费用的提议可能会防止医疗保险受益人的就医机会恶化，但不太可能解决因专科和市场而异的全系统就医问题。
