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医院费用控制问题是美国医疗保健行业面临的最重要最棘手的问题,现在每年美国病人住院治疗费用达600亿美元以上,约占各种医疗费用总和的40％。各项医疗费用1980年比1965年增加了3倍,比1975年增加了1倍,已接近国民生产总值的9％。当财力有限,国家又要继继向全体公民提供高质量、技术优良和综合医疗服务时。最大的问题是如何建立有效控制费用的方法。西欧国家(包括英国)医疗费支出的历史说明,当财力有限而需求广时;必须慎重处理医院现代化、采纳新技术和常规外科手术设备之间的资金
The hospital cost control problem is the most important and most difficult issue faced by the US healthcare industry. The annual hospital treatment cost of American patients reaches more than US$60 billion, accounting for about 40% of the total medical expenses. The cost of medical care has tripled in 1980 compared to 1965, has doubled since 1975, and is close to 9% of GNP. When the financial resources are limited, the country must continue to provide all citizens with high quality, technically superior and comprehensive medical services. The biggest issue is how to establish effective ways to control costs. The history of expenditures on medical expenses in Western European countries (including the United Kingdom) shows that when financial resources are limited and the demand is wide; the modernization of hospitals, the adoption of new technologies and the funding of conventional surgical equipment must be carefully handled.