单一来源的融资系统. 美国的解决方案?
1Division of Health Policy and Management, Emory University School of Public Health, Atlanta, Ga. 30329.
JAMA
|August 12, 1992
概括
单一来源的融资系统,如基于税收和社会保险,允许公共当局控制医疗保健支出. 改革侧重于效率和获取,并审查了美国的实施挑战.
科学领域:
- 卫生政策 卫生政策
- 医疗保健经济学 医疗保健经济学
- 公共管理 公共管理
背景情况:
- 单一来源的融资系统,包括基于税收和社会保险的模式,具有结构上的相似性.
- 这些系统使公共当局能够管理医疗保健总支出.
- 它们为供应商驱动的支出压力建立了抵消作用.
研究的目的:
- 分析单一来源融资系统的结构特征.
- 检查欧洲单一来源融资中正在进行的改革.
- 评估美国可能引入单一来源融资系统的可能性.
主要方法:
- 基于税收和社会保险的融资模式的比较分析.
- 审查欧洲医疗保健改革倡议.
- 评估美国实施的优点和缺点.
主要成果:
- 单一来源系统提供了一种控制医疗保健支出增长的机制.
- 欧洲的改革优先考虑效率和响应能力,同时保持通用接入.
- 美国采用的关键考虑因素包括平衡效率与公平获取.
结论:
- 单一来源融资为管理医疗保健支出和普及医疗保健提供了一个框架.
- 美国可以从了解这些系统的国际经验中获益.
- 仔细考虑优点和缺点对于潜在的美国采用至关重要.
关键词:
医疗保健和公共卫生
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