すべての無保険のアメリカ人に初等医療を提供しよう!今すぐ!
1Teaching Center, Harvard Community Health Plan, Boston, Mass. 02215.
JAMA
|April 24, 1991
まとめ
すべての無保険のアメリカ人に基本的なプライマリーケアサービスを提供することは,経済的安全網です. 医療費を事前に支払う医師は,手頃な価格でのアクセスを提供し,長期的な医療費の支出を制御します.
科学分野:
- 保健政策 保健政策 保健政策
- 公衆衛生は公衆衛生である.
- 健康経済学 医療経済学
背景:
- 政治的な行き詰まりは,保険のない人のための包括的な健康保険の提供を妨げています.
- 保険に入っていない人は,基本的プライマリケアサービスへのアクセスを欠いている.
- 既存のヘルスケア・セーフティ・ネットは,無保険者にとって不十分です.
研究 の 目的:
- 保険のないアメリカ人にプライマリケアを提供するための費用対効果の高い解決策を提案する.
- 経済的な安全網としての基本的なプライマリケアを提唱する.
- 医療費をコントロールするために,医師のサービスの前払いモデルを探求する.
主な方法:
- この研究は,プライマリケアサービスのために参加医者に事前に支払いをするモデルを提案しています.
- このアプローチは,保険のない個人に不可欠なケアを提供することを目的としています.
- 焦点は,時間の経過とともに医療費をコントロールすることにある.
主要な成果:
- 基本的プライマリケアサービスは,保険のないすべてのアメリカ人に手頃な価格で提供できます.
- 事前決済モデルは,市民にとって経済的な安全ネットを提供します.
- この戦略は,医療費をコントロールするための優れた見通しを示しています.
結論:
- プライマリケア医の事前払い制度の導入は,保険のない者をカバーするための実現可能で経済的アプローチです.
- このモデルは,基本的な医療へのアクセスを提供するための持続可能な解決策を提供します.
- プライマリケアに焦点を当てると,医療費の長期的なコストコントロールが大きくなります.
キーワード:
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