Medical expenses in the health care system reform changes in trends and policy orientation.doc

 PAGE \* MERGEFORMAT 20 Medical expenses in the health care system reform changes in trends and policy orientation Abstract: The standard of medical costs and changes in the process depends primarily on a country’s economic development level.We expect the change in trend is likely to go through three new stage. Thus, in macro-management should pay attention to the policy orientation of the four areas: the efficiency of light-weight income, re-price effects of light and heavy light-extensive management and scientific management, re-light short-long-term interests. Keywords: medical costs; change; trend; policy orientation The standard of medical costs and changes in the process depends primarily on a country’s economic development level. Since the 60’s, the world of medical costs generally experienced high growth and the government-controlled two-stage, but the growth rate, if less than the gross national product (gnp) growth rate lags behind its medical and health undertakings will affect people’s health and socio-economic development ;, however, had more than gnp growth rate, while the government is difficult to load, social, and public discontent. Health costs of Japan’s 1974 growth rate of 36.2% over the same period gnp growth rate of only 15% ~ 20%. Singapore has in the process, are forced by social pressure, resulting in direct government intervention. In November 1998 we visited Singapore, I saw that the local newspapers reprinted the government regulations, the National Hospital, unified pilot group of diagnosis-related diseases (drgs), and use 3 to 5 years to achieve the kinds of structures according to disease pre-paid system of fees and funds. At present, the United States and Japan and other countries that the annual increase in medical expenses should strive with gnp growth rate was flat, at about 4.8% ~ 5.3%. Since the founding of our country since the development of health care costs has gone through three sta