Scitovsky A A
Med Care. 1985 Dec;23(12):1345-57. doi: 10.1097/00005650-198512000-00004.
This study, like two earlier studies by the author, examines the effects of changing medical technologies on medical care costs by comparing the costs of treatment of a number of common illnesses at two points in time, 1971 and 1981. While the earlier studies, covering the periods 1951-1964 and 1964-1971, showed that the main cost-raising changes had been a steep rise in the use of relatively low-cost ancillary services, such as laboratory tests and x-rays ("little-ticket" technologies), this study shows that in the period 1971-1981 the use of these technologies hardly changed but that several new and expensive technologies ("big-ticket" technologies) came into use, which raised medical care costs considerably.
与作者之前的两项研究一样,本研究通过比较1971年和1981年两个时间点上多种常见疾病的治疗成本,考察了医疗技术变革对医疗成本的影响。早期的研究涵盖了1951 - 1964年和1964 - 1971年这两个时期,结果显示,主要的成本上升变化是相对低成本的辅助服务(如实验室检查和X光检查,即“小费用”技术)的使用急剧增加;而本研究表明,在1971 - 1981年期间,这些技术的使用几乎没有变化,但有几种新的、昂贵的技术(“大费用”技术)开始投入使用,这使得医疗成本大幅上升。