Rees J M, Dimick A R
National Coalition of Burn Center Hospitals, Washington, DC.
Clin Plast Surg. 1992 Jul;19(3):561-8.
This article attempts to predict the federal government's response to the cost of burn care in the 1990s by examining the explosive growth of health care costs in the 1980s and the impact that this had on hospitals with burn centers. The Prospective Payment System (PPS) was enacted in 1983, which limited the government's liability to hospitals by effectively capping the amount of federal dollars in the system. The inequities of the classification of burn patients by the PPS is discussed and a proposal for modification is outlined.
本文试图通过研究20世纪80年代医疗保健成本的爆炸式增长及其对设有烧伤中心的医院的影响，来预测联邦政府在20世纪90年代对烧伤护理成本的应对措施。1983年颁布了预期支付系统（PPS），该系统通过有效限制系统中的联邦资金数额，限制了政府对医院的责任。文中讨论了PPS对烧伤患者分类的不公平性，并概述了一项修改建议。
