Hadley J
Milbank Mem Fund Q Health Soc. 1984 Spring;62(2):279-99.
Medicare's system of paying physicians is criticized as being costly, inflationary , inefficient, inequitable , and confusing. Yet when alternative methods--to change practice arrangements, units of service, fee levels, and the assignment option--are examined, no one seems ideal. A fee-for-service system combined with a prospective payment schedule may offer the best compromise.
医疗保险支付医生的体系被批评为成本高昂、引发通胀、效率低下、不公平且令人困惑。然而,当审视改变执业安排、服务单位、费用水平和指派选项等替代方法时,似乎没有一种是理想的。将按服务收费体系与前瞻性支付计划相结合或许能提供最佳的折衷方案。