Eastaugh Steven R
Department of Health Services Management and Leadership, George Washington University, Washington, DC, USA.
J Health Care Finance. 2006 Spring;32(3):20-7.
The U.S. health care system has major problems with respect to patient access and cost control. Trimming excess hospital expenses and expanding public health activities are cost effective. By budgeting well, with global budgets set for the high cost sectors, the United States might emerge with lower tax hikes, a healthier population, better facilities, and enhanced access to service. Nations with global budgets have better health statistics, and lower costs, compared to the United States. With global budgets, these countries employ 75 to 85 percent fewer employees in administration and regulation, but patient satisfaction is almost double the rate in the United States. Implement a global budget for health care, or substantially raise taxes, is the basic choice faced in this country. Key words: global budget control cost containment.
美国医疗保健系统在患者就医机会和成本控制方面存在重大问题。削减过多的医院开支并扩大公共卫生活动具有成本效益。通过合理预算，为高成本部门设定全球预算，美国可能会出现税收增幅降低、人口更健康、设施更好以及服务可及性增强的情况。与美国相比，实行全球预算的国家拥有更好的健康统计数据且成本更低。实行全球预算后，这些国家在行政和监管方面雇佣的员工减少了75%至85%，但患者满意度几乎是美国的两倍。在美国，面临的基本选择是实行医疗保健全球预算，还是大幅提高税收。关键词：全球预算；控制成本；遏制费用
