Pane G A, Taliaferro E H
Unisys Corporation Government Systems Group, Louisiana Medicaid Program and Emergency Medicine Residency, Louisiana State University, Baton Rouge.
Ann Emerg Med. 1994 Jan;23(1):103-8. doi: 10.1016/s0196-0644(94)70015-x.
While health care has become one of the leading policy concerns of the American public, cost containment has emerged as the most prominent underlying factor. Components of health care cost escalation include societal problems, consumer demand, an aging population, the technology explosion, administrative inefficiencies, the malpractice crisis, fraud and abuse, the lack of health promotion and disease prevention, the rising number of uninsured, and regulatory issues. The three major categories of health reform proposals, with characteristic cost containment features, are discussed. A comprehensive listing of available cost containment interventions is summarized in ten categories.
虽然医疗保健已成为美国公众主要关注的政策问题之一，但成本控制已成为最突出的潜在因素。医疗保健成本上升的因素包括社会问题、消费者需求、人口老龄化、技术爆炸、管理效率低下、医疗事故危机、欺诈和滥用、缺乏健康促进和疾病预防、未参保人数增加以及监管问题。本文讨论了具有典型成本控制特征的三大类医疗改革提案。可用的成本控制干预措施综合列表归纳为十类。
