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过去十年间,医院管理方面最显著的变化是由过去强调卫生服务质量,到重视卫生费用的节省和控制。费用上涨美国卫生费用由1960年的270亿美元(占国民生产总值的5％)增加到1981年的2,870亿美元(占国民生产总值的9.8％),美国公民每年每人的卫生保健费用1960年为146美元,1981年为1,200美元,预计到1990年将超过3,000美元,总卫生费用达到7,580亿美元,占国民生产总值的11.5％。人所共知,按人口平均卫生费用是一个易使人误解的指标。1978年65岁以上的老年人人均卫生费用超过2,000美元;19岁以下的人每人则为286美元;19～64岁的人为764美元。可见,老年人仅占全国人
Over the past decade, the most significant changes in hospital management have been the emphasis placed on the quality of health services in the past and the emphasis on saving and controlling health costs. Expenses rise U.S. health spending increased from US$27 billion in 1960 (5% of GNP) to US$287 billion in 1981 (9.8% of GNP), and US citizens’ health care costs per person per year It was US$ 146 in 1960 and US$ 1,200 in 1981. It is expected that by 1990 it will exceed US$ 3,000 and the total cost of health will reach US$ 758 billion, accounting for 11.5% of GNP. As everyone knows, the average population health expenditure is an easily misunderstood indicator. In 1978, per capita health costs for older persons over 65 were more than 2,000 US dollars; for those under 19 years old, they were 286 US dollars each; and for those aged 19-64 years were 764 US dollars. It can be seen that the elderly only account for the national population