Glynn Amy, MacKenzie Rose, Fitzgerald Therese
1 Brigham and Women's Hospital , Mary Horrigan Connors Center for Women's Health and Gender Biology, Boston, Massachusetts.
2 National Institute for Reproductive Health/NARAL Pro-Choice , New York, New York.
J Womens Health (Larchmt). 2016 Feb;25(2):110-6. doi: 10.1089/jwh.2015.5295. Epub 2015 Oct 21.
When it comes to healthcare, women are often the primary decision makers for their families. Therefore, focusing on women and their health needs can have a profound effect on health reform efforts to control costs and improve quality for all segments of the population. The promise and pitfalls of cost containment reform in Massachusetts can serve as an informative case study for policymakers at the local, state, and federal levels as they attempt to reduce costs while maintaining quality of care. Massachusetts cost containment law, Chapter 224, seeks to control the healthcare cost growth through innovative approaches to increase efficiency and transparency including the adoption of new delivery system models, investments in wellness and prevention programs, and implementation of standard quality and evaluation measures. In this paper, we outline four approaches to delivering on the promise of cost containment reform to maximize women's access to comprehensive, quality healthcare while avoiding the pitfalls of cost containment's adverse impact on women's health.
在医疗保健方面，女性往往是其家庭的主要决策者。因此，关注女性及其健康需求对于控制成本并提高全体人口医疗质量的医疗改革努力可能会产生深远影响。马萨诸塞州成本控制改革的前景与陷阱，对于地方、州和联邦层面的政策制定者而言，在他们试图在维持医疗质量的同时降低成本时，可作为一个颇具参考价值的案例研究。马萨诸塞州的成本控制法，即第224章，旨在通过创新方法来控制医疗成本增长，以提高效率和透明度，这些方法包括采用新的医疗服务提供系统模式、对健康促进和预防项目进行投资，以及实施标准质量和评估措施。在本文中，我们概述了四种实现成本控制改革承诺的方法，以最大限度地让女性获得全面、优质的医疗保健，同时避免成本控制对女性健康产生不利影响的陷阱。
