Medical economics and the assessment of value in cardiovascular medicine: Part I
Medical economics and the assessment of value in cardiovascular medicine: Part I
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DOI：
10.1161/01.cir.0000021407.93752.7b
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发表时间：
2002-07-23
期刊：
影响因子：
37.8
通讯作者：
Hlatky, MA
中科院分区：
文献类型：
--
作者：
Mark, DB;Hlatky, MA
应增加预算，以支付纳税人所希望的改善服务。美国的流程更加分散、分散，由个人提供者决定要提供的护理，由个人支付者决定为哪些患者报销哪些治疗费用。经济学并不规定如何解决资源分配的冲突，而是提供一个框架，使资源分配问题概念化，并提供一套工具，用于确定优先事项。经济和会计工具可以应用于医学，以回答两个主要问题：（1）什么是特定类型的护理或护理事件的成本是多少？(2)这种保健产生的健康效益与其成本是否成合理比例？
budgets should be increased to pay for the improved services that taxpayers want. The United States has a more decentralized, fragmented process, in which individual providers make decisions about the care to be offered and individual payers decide which therapies will be reimbursed for which patients. Economics does not prescribe how to settle conflicts over resource allocation but rather provides a framework for conceptualizing the problem of resource allocation and a set of tools to use in setting priorities. Economic and accounting tools can be applied in medicine to answer 2 major questions:(1) What is the cost of a particular type of care or episode of care?(2) Are the health benefits produced by this care in reasonable proportion to their costs?