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美国医院服务定价:隐秘面纱背后的混乱

The pricing of U.S. hospital services: chaos behind a veil of secrecy.

作者信息

Reinhardt Uwe E

机构信息

Center for Health and Well Being, Woodrow Wilson School of Public and International Affairs, Princeton University, Princeton, NJ, USA.

出版信息

Health Aff (Millwood). 2006 Jan-Feb;25(1):57-69. doi: 10.1377/hlthaff.25.1.57.

Abstract

Although Americans and foreigners alike tend to think of the U.S. health care system as being a "market-driven" system, the prices actually paid for health care goods and services in that system have remained remarkably opaque. This paper describes how U.S. hospitals now price their services to the various third-party payers and self-paying patients, and how that system would have to be changed to accommodate the increasingly popular concept of "consumer-directed health care."

摘要

尽管美国人和外国人都倾向于认为美国医疗保健系统是一个“市场驱动”的系统,但在该系统中实际支付的医疗保健商品和服务价格却一直非常不透明。本文描述了美国医院现在如何向各种第三方付款人和自费患者定价其服务,以及该系统将如何改变以适应日益流行的“消费者导向型医疗保健”概念。

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