Brown J B, Saltman R B
Inquiry. 1985 Summer;22(2):122-31.
Health capital policy is strategically important not only because of the long-term nature of capital commitments but also because capital requirements often drive institutional behavior far out of proportion to dollars expended. The authors offer a framework for analyzing U.S. health capital policy, much of which is indirect and not always understood to be health capital policy. They emphasize the complex interaction between capital policy and health system configuration and performance, and highlight the long-term effects of current capital policy. They conclude with a likely configuration of the future U.S. health care system and with a discussion of the strategic role of capital policy in creating that future.
卫生资本政策具有重要的战略意义，这不仅是因为资本投入具有长期性，还因为资本需求往往会极大地影响机构行为，其影响力远远超出所支出的资金规模。作者提供了一个分析美国卫生资本政策的框架，其中大部分政策是间接的，而且人们并不总是将其理解为卫生资本政策。他们强调了资本政策与卫生系统配置及绩效之间的复杂相互作用，并突出了当前资本政策的长期影响。他们最后展望了未来美国医疗体系可能的形态，并讨论了资本政策在塑造这一未来过程中的战略作用。
