School of Medicine, Baylor College of Medicine, Houston, Texas.
Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Cancer. 2019 May 1;125(9):1404-1409. doi: 10.1002/cncr.31865. Epub 2019 Jan 29.
Plans to optimize health care in the United States highlight the high cost but rarely explore opportunities for redirecting resources within the existing system to increase access to care while lowering spending. This analysis indicates that, of the total national health care expenditures of $3.21 trillion in 2015, only $1.4 trillion to $2.86 trillion was used to provide care to patients. This range was reached by the subtraction of excess spending in 7 categories. Thus, many opportunities exist to repurpose wasted expenditures to increase access to health care without the need for additional funding.
美国优化医疗保健计划强调了高成本,但很少探讨在现有体系内重新配置资源的机会,以增加医疗服务的可及性,同时降低支出。本分析表明,在 2015 年 3.21 万亿美元的全国医疗保健总支出中,只有 1.4 万亿至 2.86 万亿美元用于为患者提供医疗服务。这一范围是通过减去 7 个类别中的超额支出得出的。因此,有许多机会可以重新利用浪费的支出,在不需要额外资金的情况下增加医疗保健的可及性。