This paper examines health expenditure growth under two alternative policy approaches : competition-based managed care and state government rate regulation.
Data are presented on cumulative growth in real per capita health expenditures between 1980 and 1991 so as to compare California, a state with a pro-competitive policy, with the US average and with four states with established regulation programs.
Real per capita expenditures for hospital services in the United States grew 54% between 1980 and 1991, while in California the growth was half the national rate, or 27%. Real per capita expenditures for physician services and drug expenditures in the United States grew by 82% and 65%, respectively, while in California these expenditures increased only 58% and 41%, respectively.
California's growth rate was below that of all four regulatory states for all measures of health care cost inflation.
On the basis of these findings, a properly structured competitive approach could play a significant role in controlling health expenditures in the United States.
Mots-clés Pascal : Dépense, Santé, Politique sanitaire, Contrôle coût, Gouvernement, Etude comparative, Compétition, Etats Unis, Economie santé, Système santé, Réforme, Soin coordonné, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Expenditure, Health, Health policy, Cost control, Government, Comparative study, Competition, United States, Health economy, Health system, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0553477
Code Inist : 002B30A01B. Création : 01/03/1996.