What is driving health system change?

被引:39
作者
Etheredge, L [1 ]
Jones, SB [1 ]
Lewin, L [1 ]
机构
[1] LEWIN GRP,FAIRFAX,VA
关键词
D O I
10.1377/hlthaff.15.4.93
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Socially amoral economic forces now drive health system change. The authors, assisted by a panel of experts on employers, health plans, providers, and consumers, discuss current drivers such as (1) employers' price-focused purchasing, without good quality/value measures; (2) health plans' growing successes and market clout; (3) providers' declining prospects and fears about their future; and (4) consumers' worries about less choice. Future influences will include Medicare reforms, better information, and pro-consumer regulation of managed care, as well as rising social distress. The: health system's future is now open for resolution in an evolving, imperfect market.
引用
收藏
页码:93 / 104
页数:12
相关论文
共 8 条
[1]  
*FAM USA, HMO CONS RISK
[2]  
*FAM USA, 1996, HMO CONS RISK STAT R
[3]  
LEVIT K, 1996, HLTH CARE FINANC SPR, P205
[4]  
MARWICK KPM, 1995, HLTH BENEFITS 1995
[5]  
SERAFINI MW, 1995, NATL J 0819, P2108
[6]  
*US DEP LAB, 1996, LOOK EMPL COST PROV
[7]  
ZARABOZO C, 1996, HLTH CARE FINANC SPR, P243
[8]  
ZELMAN WA, 1996, CHANGING HLTH CARE M