It's Still The Prices, Stupid: Why The US Spends So Much On Health Care, And A Tribute To Uwe Reinhardt
It's Still The Prices, Stupid: Why The US Spends So Much On Health Care, And A Tribute To Uwe Reinhardt
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DOI：
10.1377/hlthaff.2018.05144
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发表时间：
2019-01-01
期刊：
影响因子：
9.7
通讯作者：
Petrosyan, Varduhi
中科院分区：
文献类型：
--
作者：
Anderson, Gerard F.;Hussey, Peter;Petrosyan, Varduhi
2003 年，我们三人和最近去世的 Uwe Reinhardt 合着的一篇题为“愚蠢的价格”的文章发现，美国和其他国家之间医疗支出的巨大差异主要是由医疗保健价格造成的。为了向他致敬，我们使用经济合作与发展组织 (OECD) 卫生统计数据来更新这些分析并回顾对原始文章的批评。尽管自 2003 年文章发表以来，美国和其他工业化国家进行了卫生政策改革和卫生系统重组，但价格是美国医疗保健支出高于任何其他国家的主要原因的结论仍然有效。在人均医疗保健资源（医院床位、医生和护士）的关键指标上，与经合组织中位数国家相比，美国提供的资源仍然少得多。由于美国并没有比其他国家消耗更多的资源，最合乎逻辑的因素是美国支付的价格更高。由于公共部门和私营部门支付医疗服务费用的差距在过去十五年中显着拉大，美国政策制定者应重点关注私营部门的价格。
A 2003 article titled "It's the Prices, Stupid," and coauthored by the three of us and the recently deceased Uwe Reinhardt found that the sizable differences in health spending between the US and other countries were explained mainly by health care prices. As a tribute to him, we used Organization for Economic Cooperation and Development (OECD) Health Statistics to update these analyses and review critiques of the original article. The conclusion that prices are the primary reason why the US spends more on health care than any other country remains valid, despite health policy reforms and health systems restructuring that have occurred in the US and other industrialized countries since the 2003 article's publication. On key measures of health care resources per capita (hospital beds, physicians, and nurses), the US still provides significantly fewer resources compared to the OECD median country. Since the US is not consuming greater resources than other countries, the most logical factor is the higher prices paid in the US. Because the differential between what the public and private sectors pay for medical services has grown significantly in the past fifteen years, US policy makers should focus on prices in the private sector.