Strunk Bradley C, Ginsburg Paul B
Center for Studying Health System Change, Washington, DC, USA.
Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-354-62. doi: 10.1377/hlthaff.w4.354.
Health care spending per privately insured person increased 7.4 percent in 2003. While lower than the 2002 increase, it still outpaced growth in the overall economy by a margin that exceeds the historical average. The trend for drug spending decelerated the most. Meanwhile, hospital spending grew 9 percent in 2003-1.8 percentage points less than the 2002 increase. This reflected a sharp deceleration in growth of hospital use, while growth in hospital prices accelerated for the sixth year in a row. The trend for health insurance premiums fell in 2004. Employers raised patient cost sharing for the third year in a row.
2003年,每位参加私人保险的人的医疗保健支出增长了7.4%。虽然低于2002年的增幅,但仍以超过历史平均水平的幅度超过了整体经济的增长。药品支出的增长趋势减速最为明显。与此同时,2003年医院支出增长了9%,比2002年的增幅低1.8个百分点。这反映出医院使用量的增长急剧减速,而医院价格连续第六年加速上涨。2004年,医疗保险费呈下降趋势。雇主连续第三年提高了患者费用分担比例。