高美国医疗保健支出和提供者支付率的重要性

Q3 Economics, Econometrics and Finance Forum for Health Economics and Policy Pub Date : 2012-09-10 DOI:10.1515/FHEP-2012-0007
G. Anderson, K. Chalkidou, B. Herring
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引用次数: 3

摘要

我们将美国的医疗保健支出与其他工业化国家进行比较,发现美国的医院、医生和药物的支付率通常比其他工业化国家高得多,而服务的数量——以医生就诊次数、住院天数和人均处方填充量来衡量——在各国之间相对相似。然后,我们探索旨在控制支付率和服务量的政策举措,并审查这些举措的成功和失败。在美国,私营部门为医院、医生服务和药品支付的费用明显高于公共部门。因此,如果美国要减少医疗保健支出,可能有必要从降低私营部门的支付率开始。提出了实现这一目标的各种选择。
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High US Health-Care Spending and the Importance of Provider Payment Rates
Abstract We compare health care spending in the USA to other industrialized countries and find that payment rates for hospitals, physicians, and drugs are generally much higher in the USA than they are in other industrialized countries while the quantity of services – as measured by the number of physician visits, hospital days and prescriptions filled per capita – is relatively similar across countries. We then explore policy initiatives designed to control payment rates and volume of services and review the success and failures of these initiatives. Within the USA, the private sector pays significantly higher rates for hospital and physician services and drugs than the public sector. Thus, if the USA is going to reduce health care spending, it may be necessary to begin by reducing payment rates in the private sector. Options to achieve this goal are presented.
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来源期刊
Forum for Health Economics and Policy
Forum for Health Economics and Policy Economics, Econometrics and Finance-Economics, Econometrics and Finance (miscellaneous)
CiteScore
1.60
自引率
0.00%
发文量
8
期刊介绍: Forum for Health Economics & Policy (FHEP) showcases articles in key substantive areas that lie at the intersection of health economics and health policy. The journal uses an innovative structure of forums to promote discourse on the most pressing and timely subjects in health economics and health policy, such as biomedical research and the economy, and aging and medical care costs. Forums are chosen by the Editorial Board to reflect topics where additional research is needed by economists and where the field is advancing rapidly. The journal is edited by Katherine Baicker, David Cutler and Alan Garber of Harvard University, Jay Bhattacharya of Stanford University, Dana Goldman of the University of Southern California and RAND Corporation, Neeraj Sood of the University of Southern California, Anup Malani and Tomas Philipson of University of Chicago, Pinar Karaca Mandic of the University of Minnesota, and John Romley of the University of Southern California. FHEP is sponsored by the Schaeffer Center for Health Policy and Economics at the University of Southern California. A subscription to the journal also includes the proceedings from the National Bureau of Economic Research''s annual Frontiers in Health Policy Research Conference. Topics: Economics, Political economics, Biomedical research and the economy, Aging and medical care costs, Nursing, Cancer studies, Medical treatment, Others related.
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