自由的利益,保守的支出. 支持国家健康计划的医生们提出了提案
K Grumbach1, T Bodenheimer, D U Himmelstein
1Physicians for a National Health Program, Cambridge, MA 02139.
JAMA
|May 15, 1991
概括
"医生为国家健康计划"提出了一个单一的公共保险计划,覆盖所有美国人. 这一计划可以节省数十亿美元的行政费用,为扩展服务提供资金,并维持目前的卫生支出水平.
科学领域:
- 卫生政策 卫生政策
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 目前的医疗保健系统面临着覆盖范围和行政效率低下的挑战.
- 人口的很大一部分仍然没有保险或保险不足.
- 行政费用占医疗保健总支出的很大一部分.
研究的目的:
- 提出一个全面的国家医疗保险计划.
- 估计潜在的行政节省和它们对服务扩张的影响.
- 概述一个过渡期国家卫生计划的预算和融资模式.
主要方法:
- 划定一个过渡期的国家卫生计划预算.
- 根据经济和人口变化对未来支出进行索引.
- 开发一套融资方案,将政府支出与预定税收结合起来.
主要成果:
- 有望每年节省数千亿美元的行政成本.
- 足够的资金来支付无保险和不足保险的人.
- 在过渡期间维持目前的总体卫生支出水平.
- 与关键因素调整后的国内生产总值 (GNP) 相关的未来支出增长.
结论:
- 一个国家卫生计划可以实现显著的行政节省.
- 这些节省可以在不增加总体成本的情况下为扩大医疗保健接入提供资金.
- 拟议的融资模式将新税收与现有收入来源相结合.
- 该计划旨在为所有美国人提供全面的福利和提供者选择.
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