McNeil B J
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115.
Semin Nucl Med. 1993 Jan;23(1):3-8. doi: 10.1016/s0001-2998(05)80057-1.
Costs of health care are increasing at a rapid rate, but both access to care and costs of care have become focal points for current national and local debates. Access issues relate not only to those who have no insurance but also to those who are underinsured. Cost issues relate most directly to radiology and nuclear medicine through their impact on coverage and payment. Increasing scrutiny is paid to criteria used for these purposes, and major changes at the federal and private level can be expected in the next decade. Finally, the ubiquitous development of practice guidelines and their expected use in physician profiles will influence the practice of medicine significantly in the future.
医疗保健成本正在迅速增长，但医疗服务的可及性和医疗费用都已成为当前国家和地方辩论的焦点。可及性问题不仅涉及那些没有保险的人，也涉及那些保险不足的人。成本问题通过对保险范围和支付的影响，与放射学和核医学最为直接相关。人们越来越关注用于这些目的的标准，预计在未来十年联邦和私人层面会发生重大变化。最后，实践指南的普遍发展及其在医生档案中的预期用途将在未来对医学实践产生重大影响。
