作者: Charles E. Begley
DOI: 10.1007/978-94-009-4704-7_13
关键词: Actuarial science 、 Rationing 、 Institution 、 Resource allocation 、 Health care 、 Government 、 Service (business) 、 Incentive 、 Resource (project management) 、 Business
摘要: It can be argued that there are only two policy alternatives for the United States regarding integration of cost control into health care system: first, rationing by government, private payers, and plans through administrative rules, or second, providers patients in response to economic incentives. In first approach rules resource allocation defined outside provider-patient relationship on basis institution- society- determined constraints. Certain service options not made available, choose what other services will provided allocated resources. This is exemplified regulatory policies 1970s, which attempted contain costs imposing limits availability resources establishing guidelines use.1