卫生安全伙伴关系. 一个联邦国家普遍保险和成本控制计划
1Department of Social Medicine, Harvard Medical School, Boston, MA 02115.
JAMA
|May 15, 1991
概括
卫生安全伙伴关系旨在为所有美国人提供全面的医疗保险,控制成本而不会牺牲医疗质量,并增强提供者的自由. 这种联邦州伙伴关系预计将使初始卫生支出增加5%,但通过效率带来长期节省.
科学领域:
- 卫生政策 卫生政策
- 医疗保健经济学 医疗经济学
- 公共卫生 公共卫生
背景情况:
- 目前的医疗保健系统面临着普遍覆盖,成本控制和提供者自主性方面的挑战.
- 需要一个结构化的方法来平衡医疗保健的获取,质量和成本.
研究的目的:
- 概述卫生安全伙伴关系的框架和目标.
- 详细介绍医疗改革中拟议的联邦和州的作用.
- 预测最初的财务影响和长期的经济效益.
主要方法:
- 该提案概述了医疗保健的联邦州伙伴关系模式.
- 关键组成部分包括全面的福利,成本控制和供应商的自由.
- 联邦政府制定标准;州管理计划设计和管理.
主要成果:
- 医疗安全伙伴关系旨在确保全面福利的普遍保险覆盖.
- 它旨在控制医疗保健成本,而不会对医疗保健质量产生负面影响.
- 它旨在加强提供者在提供临床护理方面的自由.
结论:
- 卫生安全伙伴关系提出了一种平衡的医疗改革方法.
- 它利用联邦监督,为计划设计提供州一级的灵活性.
- 预计初始成本增加,并预计从效率提高中获得长期节省.
关键词:
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