Rationing Hospital Care: Lessons from Britain

Resistance to the decades-long rise in the cost of hospital care in the United States is growing rapidly. In consequence, all physicians and patients soon may have to live with, and within, a system that limits expenditures. The process has, in fact, already begun. Fixed per diem reimbursement, reim...

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Veröffentlicht in:The New England journal of medicine 1984-01, Vol.310 (1), p.52-56
Hauptverfasser: Schwartz, William B, Aaron, Henry J
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container_title The New England journal of medicine
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creator Schwartz, William B
Aaron, Henry J
description Resistance to the decades-long rise in the cost of hospital care in the United States is growing rapidly. In consequence, all physicians and patients soon may have to live with, and within, a system that limits expenditures. The process has, in fact, already begun. Fixed per diem reimbursement, reimbursements according to specific diagnosis, and overall revenue limits are currently being implemented by several states or by the federal government under Medicare. In addition, many businesses are pursuing cost containment through so-called preferred-provider organizations. It is unclear how far our efforts to control hospital costs will go, but one thing is . . .
doi_str_mv 10.1056/NEJM198401053100120
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subjects Attitude of Health Personnel
Cancer
Chemotherapy
Financing, Personal
Health care expenditures
Health economics
Health Resources - supply & distribution
Health services
Health Services Accessibility
Hemophilia
Hospital costs
Hospitals - statistics & numerical data
Humans
Malpractice - economics
Medical technology
Parenteral nutrition
Patients
Physicians
Private Practice
Radiation therapy
State Medicine - economics
Surgery
Tumors
United Kingdom
title Rationing Hospital Care: Lessons from Britain
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