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How much does defensive medicine cost? 防御性医疗要花多少钱?
R J Rubin, D N Mendelson

Many key health reform bills in the 103rd Congress include proposals to overhaul the medical malpractice system. One of the factors motivating such legislation is the practice of defensive medicine, or care that does not benefit the patient and is provided solely to avoid malpractice claims. Estimating the costs of defensive medicine is difficult because of the many conflicting and overlapping motivations facing physicians. Although our estimates delineate a wide range of potential savings, systemwide savings from aggressive malpractice reform could approach $41 billion over five years.

第103届国会提出的许多重要的医疗改革法案都包括全面改革医疗事故制度的建议。推动此类立法的因素之一是防御性医疗的做法,或对患者没有好处的护理,只是为了避免医疗事故索赔。估计防御性医疗的成本是困难的,因为医生面临许多相互冲突和重叠的动机。尽管我们的估计描述了广泛的潜在节省,但在五年内,整个系统从积极的医疗事故改革中节省的资金可能接近410亿美元。
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引用次数: 0
An AIDS vaccine: a flickering light at the end of the tunnel. 艾滋病疫苗:隧道尽头闪烁的光芒。
C Kent

Ten years ago, federal officials predicted that an AIDS vaccine was just around the corner. Today--millions of dollars and scores of research trials later--AIDS researchers at the National Institutes of Health are deciding whether to test two promising AIDS vaccines. This time, officials aren't promising a quick fix.

十年前,联邦官员预测艾滋病疫苗即将问世。今天,在数百万美元和数十项研究试验之后,美国国立卫生研究院的艾滋病研究人员正在决定是否测试两种有希望的艾滋病疫苗。这一次,官员们没有承诺快速解决问题。
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引用次数: 0
Patient Protection Act: investing in patient care, not corporate profits. 《患者保护法》:投资于患者护理,而不是企业利润。
J S Todd
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引用次数: 0
Insurance reform may be sure bet, but will it work? 保险改革可能是板上钉钉的事,但它会奏效吗?
C Kent
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引用次数: 0
Estimating the real number of chronically uninsured. 估计长期没有保险的实际人数。
T D McBride

Opponents of universal coverage argue that 37 million uninsured Americans exaggerates the "health care crisis" because most are uninsured for just a short time. But new estimates show that 54 percent of America's uninsured live for more than two years without insurance and three out of four live without coverage for more than a year.

反对全民医保的人认为,3700万没有保险的美国人夸大了“医疗危机”,因为大多数人只是在很短的时间内没有保险。但新的估计显示,54%的美国无保险人口在没有保险的情况下生活了两年多,四分之三的人在没有保险的情况下生活了一年多。
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引用次数: 0
Designing an integrated drug benefit for the elderly. 为老年人设计一种综合药物效益。
A B King, B H Colligen, R A Levy, K R Cohen

The elderly are hit hard by high out-of-pocket expenses for medicines, but a stand-alone pharmaceutical benefit could cost the country billions and still not improve older Americans' quality of care. Such a benefit should be coordinated with patients' overall medical benefits. A systems-based pharmaceutical benefit is financially feasible through a combination of premiums and cost sharing, market-driven price reductions, and cost savings achieved through integrated managed care programs and improved outcomes.

老年人受到高昂的自费药品费用的沉重打击,但单独的药品福利可能会花费国家数十亿美元,但仍不能提高美国老年人的护理质量。这种利益应该与患者的整体医疗利益相协调。通过将保费和费用分摊、市场驱动的降价以及通过综合管理医疗计划和改善的结果实现的成本节约相结合,以系统为基础的药品效益在财务上是可行的。
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引用次数: 0
Why medical savings accounts deserve a closer look. 为什么医疗储蓄账户值得仔细研究?
G A Jensen, R J Morlock

Dismissed as a luxury only for the young or wealthy, medical savings accounts could be used by a majority of Americans--who are neither poor or chronically ill--to make cost-conscious choices about their health care. Current federal tax laws and insurers' inability to sell catastrophic group coverage policies pose obstacles to their widespread use and should be removed.

医疗储蓄账户被认为是年轻人或富人的奢侈品,但大多数美国人——他们既不是穷人,也不是慢性病患者——都可以利用它,在医疗保健方面做出成本意识较强的选择。目前的联邦税法和保险公司无法销售灾难性团体保险政策,这对它们的广泛使用构成了障碍,应该予以消除。
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引用次数: 0
Do health reform polls clarify or confuse the public? 医疗改革的民意调查是澄清还是混淆了公众?
K H Jamieson, J N Cappella

No wonder Americans are confused about which health reform proposal would best solve the country's needs. Many opinion polls conducted this year by the major news networks have focused on the public's approval of specific elements in the Clinton health plan, while ignoring its perception of the problem and alternative solutions. For polls to offer useful information to policymakers, pollsters must determine what the public wants, what it knows, and what paths it favors to reach those goals.

难怪美国人对哪个医疗改革方案能最好地解决国家需求感到困惑。今年由主要新闻网络进行的许多民意调查都集中在公众对克林顿健康计划中具体内容的认可上,而忽略了公众对问题和替代解决方案的看法。为了让民意调查向政策制定者提供有用的信息,民意调查人员必须确定公众想要什么,知道什么,以及他们希望通过什么途径实现这些目标。
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引用次数: 0
Rick Scott: health care's $10 billion man. 里克·斯科特:医疗保健行业价值100亿美元的人。
C Tokarski
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引用次数: 0
States take closer look at medical savings accounts. 各州密切关注医疗储蓄账户。
A Holmes
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引用次数: 0
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The Journal of American health policy
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