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医疗费用过快上涨是世界各国医疗卫生服务体系面临的普遍问题。美国在卫生经济政策上,同时采取了需方、供方成本控制策略。加强大型医用设备配置管理,防止无限度进入市场和过度使用,是美国供方成本控制的典型策略。目前,主要通过需求评估许可法案(CON)加强大型医用设备配置和卫生资源规划布局。立法保障考量供需根据全美立法会统计,到2013年年底,全美现有36个州和华盛顿哥伦比亚特区立法保障实施CON。实施CON的主要目的是根据实际需要合理
The rapid rise of medical costs is a common problem faced by medical and health service systems in various countries in the world. The United States has taken a demand-side and supply-side cost control strategy in its economic and health policies. Strengthening the management of large-scale medical equipment configuration to prevent unlimited access to the market and over-use, the United States is a typical supplier cost control strategy. Currently, the deployment of large-scale medical equipment and the layout of health resource planning are mainly strengthened through the Need for Assessment Licensing Act (CON). Legislation to safeguard the supply and demand considerations According to the statistics of the Legislative Council of the United States, by the end of 2013, the existing 36 states across the United States and Washington, DC legislation guarantee the implementation of CON. The main purpose of the implementation of the CON is based on the actual needs of reasonable