Health-care expenditure and health policy in the USA versus other high-spending OECD countries.
Lancet
; 384(9937): 83-92, 2014 Jul 05.
Article
em En
| MEDLINE
| ID: mdl-24993914
ABSTRACT
The USA has exceptional levels of health-care expenditure, but growth has slowed dramatically in recent years, amidst major efforts to close the coverage gap with other countries of the Organisation for Economic Co-operation and Development (OECD). We reviewed expenditure trends and key policies since 2000 in the USA and five other high-spending OECD countries. Higher health-sector prices explain much of the difference between the USA and other high-spending countries, and price dynamics are largely responsible for the slowdown in expenditure growth. Other high-spending countries did not face the same coverage challenges, and could draw from a broader set of policies to keep expenditure under control, but expenditure growth was similar to the USA. Tightening Medicare and Medicaid price controls on plans and providers, and leveraging the scale of the public programmes to increase efficiency in financing and care delivery, might prevent a future economic recovery from offsetting the slowdown in health sector prices and expenditure growth.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Gastos em Saúde
/
Setor de Assistência à Saúde
/
Atenção à Saúde
/
Política de Saúde
Tipo de estudo:
Health_economic_evaluation
Limite:
Humans
País/Região como assunto:
America do norte
/
Europa
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article