REDUCING HEALTH-CARE COSTS BY REDUCING THE NEED AND DEMAND FOR MEDICAL-SERVICES
REDUCING HEALTH-CARE COSTS BY REDUCING THE NEED AND DEMAND FOR MEDICAL-SERVICES
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DOI：
10.1056/nejm199307293290506
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发表时间：
1993-07-29
影响因子：
158.5
通讯作者：
WRIGHT, D
中科院分区：
文献类型：
--
作者：
FRIES, JF;KOOP, CE;WRIGHT, D
美国的医疗保健费用超过国内生产总值的14%，远远超过任何其他国家。1992年的总费用为8 380亿美元，即每人3 000多美元1。超过3000万美国人没有保险，部分原因是保险费上涨2，3。我们提出了一种方法来解决这个问题的一部分，被忽视了，一个集中在系统地减少需要，从而减少对医疗服务的需求。这种方法需要扩大“健康促进”和“预防保健”的定义，有选择地关注已经发现的战略。
Health care costs in the United States exceed 14 percent of the gross domestic product, far more than in any other nation. Overall costs were $838 billion in 1992, or over $3,000 per person1. Well over 30 million Americans are uninsured, partly because of rising premium costs2,3. We propose an approach to part of this problem that has been neglected, one that focuses on systematically reducing the need and thus the demand for medical services. This approach requires expanding the definitions of “health promotion” and “preventive care,” paying selective attention to strategies that have been found to . . .