Redmon D P, Yakoboski P J
Health, Education, and Human Services Division, U.S. General Accounting Office, Washington DC 20548, USA.
Inquiry. 1995 Summer;32(2):174-83.
If global budgets consistently reduce health care expenditures by cutting inefficiency and economic rents (i.e., by lowering the relative price of services), their appeal as a public policy tool is clear. This paper shows the French inpatient global budget policy, implemented in 1984, was successful in slowing expenditure growth. It did so, however, by reducing the volume of services; the relative price of these services remained constant. Compared with previous research, these findings suggest the effect of global budgets depends on the method of implementing the policy and the health care infrastructure on which the expenditure policy is imposed.
如果全球预算通过削减低效率和经济租金（即降低服务相对价格）持续降低医疗保健支出，那么其作为一项公共政策工具的吸引力是显而易见的。本文表明，1984年实施的法国住院患者全球预算政策成功减缓了支出增长。然而，它是通过减少服务量来实现的；这些服务的相对价格保持不变。与之前的研究相比，这些发现表明全球预算的效果取决于政策的实施方式以及实施支出政策所依托的医疗保健基础设施。
