美国卫生费用持续上涨的原因及控制措施.pdfVIP

【国外卫生事业评介】 美国卫生费用持续上涨的原因及控制措施 汪建新，冼雄，梁志诚，江伟强，周国生，王启敏 (广州市第一人民医院，广东广州，510180) [摘要] 以下因素有关：第三方付费的方式、不完善的市场、新技术的应用、人口老龄化、卫生保健模式、多方付费系统、庞大的管 理费用、防卫性医疗、浪费等。在美国控制医疗费用的措施包括政府行为和市场竞争机制两方面，比如：资源配置许可制 度、对外国医科毕业生的限制政策、采用DRG付费方式、管理型保健医疗等。 [关键词]美国；卫生保健；经费；控制 [e0图分类号JRl9 [文献标识码]B [文章编号]1004—4663(2001)11一0696一02 ReasonsofHealthCare andControlMeasuresinUnited ExpenditureRising Jianxin，et Continually States．／Wang HealthService al／／TheChinese Management～2001；17(11)：696～697 Abstract healthcare isa numberinUnited is1．147 Recently，the expenditure States，which huge the are of GDP)in1998．There factorsthatcauseso of inflationinthe percent many highexpenditures．Besidegeneral overall are ofnew economy，therethird—partypayment，imperfectmarket，applicationtechnology，theaging，and modelofhealthcare cost，defensivemedicalserviceand delivery，multi—partypayment system，largemanagement waste．Thecharacteristicofcost—controlintheUnitedStatesiscombinationof andmarket— governmentregulation based ascertificationof limits for medical competition，such need，entrypolicyforeign graduates，DRGpaymentsys— healthcare，andsoon． tem，managed Authors’addressFirst People’s Province，P．R．China． Guangzhou Hospital，Guangzhou，Guangdong WordsUnitedStatesHealthca