Health Care Reform: Controlling Spending and Increasing Efficiency
نویسندگان
چکیده
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Health-care expenditures and their driving forces . . . . . . . . . . . . . . . . . . . . . . . . . 8 Past trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Factors underlying past and future spending pressures. . . . . . . . . . . . . . . . . . . . I4 Policies to improve the performance of health-care systems. . . . . . . . . . . . . . . . . 18 Factors influencing the direction of reforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 I Measures to control spending (macro control) . . . . . . . . . . . . . . . . . . . . . . . . . 22 Micro-efficiency and supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . 25 Some specific issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Summary and conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Rising health expenditure and steps toward re fo rm. . . . . . . . . . . . . . . . . . . . . . 44 From health-care policy to health policy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
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