The priorities of the health care system vs. its financing: political realities vs. financial realities.
The impact of technology and the emphasis on tertiary specialty care have no inherent limits of cost escalation. Likewise, they dislocate health care resources since general and secondary care become more expensive as the impact of the high cost emphasis of health care trickles down to the costs of primary and secondary care. The change areas will involve: the principle of regionalization of specialty care and resident training, a uniform system of costs and reimbursements for all specialized medical and hospital care, the rationing of high technology specialty care and the application of prospective systems of payment to all institutional and physician specialty services.
Widener University, Chester, PA 19013.
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Reilly
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Broyles
D003363:Cost Control; D003695:Delivery of Health Care / Q000191:economics*; D004465:Economic Competition; D005381:Financing, Organized; D006292:Health Priorities; D006297:Health Services Accessibility; D007250:Inflation, Economic; D011057:Politics; D013675:Technology, High-Cost / Q000191:economics; D014481:United States