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  1. Rationing surgery : rules or constraints ?

    Article - En anglais

    Background

    As U.S. health care expenditures climb, the need to set limits on surgery is becoming more generally accepted.

    If limits are necessary, how should they be established and by whom?

    This article considers two fundamental approaches, rules and constraints.

    Results

    With rules, payers or policymakers ration care by prioritizing and then restricting specific procedures.

    Although they have the advantage of explicitness, rule based on treatment prioritization are limited by patient heterogeneity and the lack of outcomes data necessary to rank many procedures.

    Mots-clés Pascal : Economie santé, Système santé, Homme, Chirurgie, Etats Unis, Amérique du Nord, Amérique, Réduction, Coût

    Mots-clés Pascal anglais : Health economy, Health system, Human, Surgery, United States, North America, America, Reduction, Costs

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 93-0491497

    Code Inist : 002B30A01B. Création : 199406.