Biles B, Schramm C J, Atkinson J G
N Engl J Med. 1980 Sep 18;303(12):664-8. doi: 10.1056/NEJM198009183031203.
Evaluations of the early phases of state efforts to control hospital costs led to discouraging conclusions about the effectiveness of such programs. To determine whether cost regulation has improved since then, we compared the experience of the six states that have comprehensive, legally mandated hospital rate-setting programs with that of the states without such programs during the period from 1970 to 1978. During the last three years of this period, the average annual rate of increase in hospital costs in rate-setting states has been 11.2 per cent, as compared with an average annual rate of increase of 14.3 per cent in states without such programs (P < 0.05). We conclude that much of the initial pessimism regarding the effectiveness of hospital rate-setting programs, based on studies that covered earlier reporting periods, may be unwarranted.
对各州控制医院成本初期努力的评估得出了关于此类项目有效性的令人沮丧的结论。为了确定自那时以来成本监管是否有所改善，我们比较了1970年至1978年期间六个拥有全面的、法律规定的医院费率设定项目的州与没有此类项目的州的情况。在这一时期的最后三年，实行费率设定的州医院成本的年均增长率为11.2%，而没有此类项目的州的年均增长率为14.3%（P < 0.05）。我们得出结论，基于早期报告期研究而对医院费率设定项目有效性的许多最初的悲观态度可能是没有根据的。
