Lave J R
Milbank Mem Fund Q Health Soc. 1984 Spring;62(2):251-68.
Although hospital care forms the largest expenditure under Medicare, long-term reforms in the basic reimbursement system should be approached cautiously. The effects of newly mandated changes--prospective payment and DRGs--have yet to be evaluated, but some modifications should be considered for the near term. Uniform, national payment rates and adjustments for teaching are especially critical areas.
尽管医院护理是医疗保险项下最大的支出项目，但对基本报销制度进行长期改革时应谨慎行事。新规定的变革——前瞻性支付和诊断相关分组（DRGs）——的效果尚未得到评估，但近期应考虑一些调整。统一的全国支付率以及针对教学的调整是尤为关键的领域。
