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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w14257 |
来源ID | Working Paper 14257 |
Is American Health Care Uniquely Inefficient? | |
Alan M. Garber; Jonathan Skinner | |
发表日期 | 2008-08-27 |
出版年 | 2008 |
语种 | 英语 |
摘要 | The U.S. health system has been described as the most competitive, heterogeneous, inefficient, fragmented, and advanced system of care in the world. In this paper, we consider two questions: First, is the U.S. health care system productively efficient relative to other wealthy countries, in the sense of producing better health for a given bundle of hospital beds, physicians, nurses, and other factor inputs? Second, is the U.S. allocatively efficient relative to other countries, in the sense of providing highly valued care to consumers? For both questions, the answer is most likely no. Although no country can claim to have eliminated inefficiency, the U.S. has fragmented care, high administrative costs, and stands out with regard to heterogeneity in treatment because of race, income, and geography. The U.S. health care system is also more likely to pay for diagnostic tests, treatments, and other forms of care before effectiveness is established and with little consideration of the value they provide. A number of proposed reforms that are designed to ameliorate shortcomings of the U.S. health care system, such as quality improvement initiatives and coverage expansions, are unlikely by themselves to reduce expenditures. Addressing allocative inefficiency is a far more difficult task but central to controlling costs. |
主题 | Health, Education, and Welfare ; Health |
URL | https://www.nber.org/papers/w14257 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/571947 |
推荐引用方式 GB/T 7714 | Alan M. Garber,Jonathan Skinner. Is American Health Care Uniquely Inefficient?. 2008. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w14257.pdf(176KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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