论文部分内容阅读
我们估计了在美国制定一个国家卫生保健计划(NHP)的保健与成本效果。这个计划将可能提供全民的和多方面的公费医疗。基于健康服务所(?)(?)本和效果之间关系的经验研究,我们预计NHP计划将增加14.6％的健康服务,每年将挽救47,000～106,000人的生命。因为美国面临医院床位数和医生人数增长过剩,多余的医疗机构会以低成本提供服务。缩简官僚主义盛行的卫生保健部门,将会导致大量的成本节约。因为花费在辅助医疗上的35.7亿元(美元),将由从清除官僚主义机构中节约下来的45.9亿美元中得到补偿,所以,NHP计划的实施将减少2.4％的成本,每年节约10.2亿美元。
We estimate the health and cost effectiveness of developing a National Health Care Program (NHP) in the United States. This plan will likely provide universal and multi-faceted public medical care. Based on an empirical study of the relationship between health services (?) costs and effectiveness, we expect that NHP plans to increase health services by 14.6%, saving 47,000 to 106,000 lives each year. Because the United States faces an excess of hospital beds and doctors, excess medical institutions will provide services at low cost. Condensing the health care sector, where bureaucracy is prevalent, will result in significant cost savings. Because the 3.57 billion U.S. dollars (US dollars) spent on supplementary medical care will be compensated by the 4.59 billion U.S. dollars saved from the elimination of bureaucratic institutions, the implementation of the NHP plan will reduce the cost by 2.4%, saving US$ 1.02 billion annually.