単一資金源の金融システム. アメリカ合衆国にとっての解決策か?
1Division of Health Policy and Management, Emory University School of Public Health, Atlanta, Ga. 30329.
JAMA
|August 12, 1992
まとめ
税金や社会保険のような単一資金源の金融システムは,公的機関が医療費をコントロールすることを可能にします. 改革は,効率とアクセスに焦点を当て,米国の実施課題の見直しを行っています.
科学分野:
- 保健政策 保健政策 保健政策
- 医療経済学 医療経済学
- 公共行政は,公共行政である.
背景:
- 税制と社会保険のモデルを含む単一源の資金調達システムは,構造的に類似しています.
- これらのシステムは,公共機関に,医療費の総額を管理する権限を与えています.
- 彼らは,提供者主導の支出圧力に対する対称性を確立します.
研究 の 目的:
- 単一資金源の金融システムの構造的特徴を分析する.
- 欧州単一資金源における進行中の改革を検証する.
- 米国で単一出所資金制度の導入の可能性を評価する.
主な方法:
- 税金と社会保険による資金調達モデルの比較分析.
- 欧州保健改革イニシアチブのレビュー.
- 米国での実施の利点と欠点を評価する.
主要な成果:
- シングルソースシステムは,医療費の増加を制御するためのメカニズムを提供します.
- 欧州の改革は,普遍的なアクセスを維持しながら,効率性と応答性を優先します.
- 米国での採用の重要な考慮事項は,効率と公平なアクセスとのバランスをとることです.
結論:
- 単一資金源による資金調達は,管理された医療支出と普遍的なアクセスのための枠組みを提供します.
- 米国は,これらのシステムに関する国際的な経験を理解することで利益を得ることができます.
- 利点とデメリットを慎重に検討することは,潜在的な米国の採用に不可欠です.
キーワード:
保健医療と公衆衛生について
関連する概念動画
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:24A Single-Component System
In the field of chemistry, the terms "component" and "phase" hold significant importance. A component refers to a chemically distinct substance in a system that has specific properties. It is chemically homogeneous, meaning it has the same properties throughout. For example, in a mixture of salt and water, both salt and water are considered separate components because they have different chemical properties.On the other hand, a phase is a form of matter that has a consistent chemical...
01:24Fast Decoupled and DC Powerflow
The fast decoupled power flow method addresses contingencies in power system operations, such as generator outages or transmission line failures. This method provides quick power flow solutions, essential for real-time system adjustments. Fast decoupled power flow algorithms simplify the Jacobian matrix by neglecting certain elements, leading to two sets of decoupled equations:
01:28Compensation Mechanisms
The human body employs intricate mechanisms to counteract changes in blood pH, preventing conditions like acidosis (pH < 7.35) and alkalosis (pH > 7.45). These compensatory responses aim to restore normal arterial blood pH by engaging respiratory or renal systems, depending on the source of the imbalance.
Respiratory Compensation
This mechanism addresses metabolic-induced pH imbalances by adjusting breathing rates. Respiratory compensation begins within minutes of detecting a pH...
Respiratory Compensation
This mechanism addresses metabolic-induced pH imbalances by adjusting breathing rates. Respiratory compensation begins within minutes of detecting a pH...
01:29Mathematical Modeling: Problem Solving
Mathematical modeling transforms real-world scenarios into mathematical expressions, allowing for structured problem-solving and analysis. This process involves defining the situation, assigning variables to measurable quantities, selecting an appropriate model, and solving the resulting equation. Such models are invaluable in finance, providing precise methods to evaluate investments, loans, and repayment structures.A widely used example is the calculation of fixed monthly payments on a loan,...