Spillman B C
Agency for Health Care Policy and Research, U.S. Department of Health and Human Services, Rockville, MD 20852.
Inquiry. 1992 Winter;29(4):457-66.
Recent proposals to increase access to health insurance suggest the need to know what the magnitude of responses would be if the one in five nonelderly persons uninsured for all or part of the year were to become insured. This paper finds that an additional commitment of resources to hospital and ambulatory care on the order of $26 billion (in 1989 dollars), or about 4% of total national health care spending, would be required if those now uninsured were to use these services on a par with the privately insured. The primary inputs to this result are new estimates of the impact of being uninsured which indicate a substantial potential response to insurance, particularly by adults.
近期关于增加医疗保险覆盖范围的提议表明，有必要了解如果五分之一全年或部分时间未参保的非老年人能够参保，其反应程度会有多大。本文发现，如果目前未参保的人群使用这些服务的程度与私人参保者相当，那么大约需要额外投入260亿美元（按1989年美元计算）用于医院和门诊护理，约占全国医疗保健总支出的4%。这一结果的主要依据是对未参保影响的新估计，这些估计表明，尤其是成年人，对保险可能会有大幅反应。
