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卫生经济学

Health economics.

作者信息

Wilensky Gail R

机构信息

Project HOPE, USA.

出版信息

Stud Health Technol Inform. 2010;153:179-93.

Abstract

Health care spending and more importantly, health care spending growth rates, are unsustainable. Past strategies of price controls, reliance on administered pricing for Medicare and the dominance of a la carte fee for service reimbursement have been part of the problem and do not represent promising strategies for the future. Too much time has been spent debating whether Medicare has done better or worse than the private sector since neither represents an acceptable path going forward. Understanding the effects of innovative payment strategies - including those that affect the patient - will be an important part in learning how to "bend the curve". Making sure that there are strategies to implement the results of successful pilots and demonstrations will also be important.

摘要

医疗保健支出,更重要的是医疗保健支出增长率,是不可持续的。过去的价格控制策略、对医疗保险行政定价的依赖以及按服务项目收费报销方式的主导地位都是问题的一部分,并非未来可行的策略。人们花费了太多时间争论医疗保险与私营部门相比表现更好还是更差,因为两者都不是未来可接受的发展路径。了解创新支付策略的影响——包括那些影响患者的策略——将是学习如何“扭转趋势”的重要一环。确保有策略来实施成功试点和示范的成果也很重要。

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