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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0491497
Code Inist : 002B30A01B. Création : 199406.