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The Milbank Memorial Fund quarterly. Health and society最新文献

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Longer life but worsening health? Trends in health and mortality of middle-aged and older persons. 寿命更长但健康状况恶化?中老年人的健康和死亡率趋势。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1984-07-01 DOI: 10.2307/3349861
L. Verbrugge
{"title":"Longer life but worsening health? Trends in health and mortality of middle-aged and older persons.","authors":"L. Verbrugge","doi":"10.2307/3349861","DOIUrl":"https://doi.org/10.2307/3349861","url":null,"abstract":"population has enjoyed rapidly declining mortality rates at all ages and for both sexes. This was an unanticipated phenomenon; it followed two decades (the 1950s and 1960s) of virtually stationary rates for males and slowly declining ones for females. Reasons for the new decline are not known with certainty, but scientists believe that early diagnosis and treatment of life-threatening chronic diseases has been a major factor. If people's chances of survival improve, especially at middle and older ages, what happens to the health profile of the population? Does it worsen because the people \"rescued\" from death are ill, and their retention in the living population boosts prevalence rates of chronic conditions?","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"131 1","pages":"475-519"},"PeriodicalIF":0.0,"publicationDate":"1984-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77734487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 519
On the use of vouchers for Medicare. 关于医疗保险代金券的使用。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1984-06-02 DOI: 10.2307/3349826
H. Luft
{"title":"On the use of vouchers for Medicare.","authors":"H. Luft","doi":"10.2307/3349826","DOIUrl":"https://doi.org/10.2307/3349826","url":null,"abstract":"Some appealing aspects of a voucher program--promise of promoting efficiency while respecting individual preference, and capping federal expenditures--may be illusory. Adverse selection, administrative and regulatory complexity, and serious inequities are not likely to meet tests of feasibility or desirability.","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"22 1","pages":"237-50"},"PeriodicalIF":0.0,"publicationDate":"1984-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75713135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Hospital reimbursement under Medicare. 医疗保险下的医院报销。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1984-06-02 DOI: 10.2307/3349827
J. Lave
{"title":"Hospital reimbursement under Medicare.","authors":"J. Lave","doi":"10.2307/3349827","DOIUrl":"https://doi.org/10.2307/3349827","url":null,"abstract":"Although hospital care forms the largest expenditure under Medicare, long-term reforms in the basic reimbursement system should be approached cautiously. The effects of newly mandated changes--prospective payment and DRGs--have yet to be evaluated, but some modifications should be considered for the near term. Uniform, national payment rates and adjustments for teaching are especially critical areas.","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"1 1","pages":"251-68"},"PeriodicalIF":0.0,"publicationDate":"1984-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83547808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 35
Comment on "Alternative Medicare financing sources". 对“替代性医疗保险融资来源”的评论。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1984-06-02 DOI: 10.2307/3349833
H. Aaron
{"title":"Comment on \"Alternative Medicare financing sources\".","authors":"H. Aaron","doi":"10.2307/3349833","DOIUrl":"https://doi.org/10.2307/3349833","url":null,"abstract":"Restoring the reality of a budget constraint in the health care plans of all patients and providers--not only in the Medicare program--is the most important issue of domestic social policy in the remainder of this century. There is no case for major new earmarked taxes to \"fix\" Medicare unless they are elements of an overall tax structure adequate to pay for the expenditures which our political process deems necessary.","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"25 1","pages":"349-55"},"PeriodicalIF":0.0,"publicationDate":"1984-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81453909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
An introduction to the Medicare financing problem. 介绍医疗保险融资问题。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1984-06-02 DOI: 10.2307/3349822
P. Ginsburg, M. Moon
{"title":"An introduction to the Medicare financing problem.","authors":"P. Ginsburg, M. Moon","doi":"10.2307/3349822","DOIUrl":"https://doi.org/10.2307/3349822","url":null,"abstract":"The Medicare program faces serious financing problems for both hospital and physician services. Spending on medical care is growing more rapidly than national income. The sources and magnitude of the problems are outlined, and a range of approaches explored. Resolution will come from coordination and interaction among several of these approaches to reducing outlays and increasing revenues.","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"151 1","pages":"167-82"},"PeriodicalIF":0.0,"publicationDate":"1984-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85615319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
How should Medicare pay physicians? 医疗保险如何支付医生?
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1984-06-02 DOI: 10.2307/3349829
J. Hadley
{"title":"How should Medicare pay physicians?","authors":"J. Hadley","doi":"10.2307/3349829","DOIUrl":"https://doi.org/10.2307/3349829","url":null,"abstract":"Medicare's system of paying physicians is criticized as being costly, inflationary , inefficient, inequitable , and confusing. Yet when alternative methods--to change practice arrangements, units of service, fee levels, and the assignment option--are examined, no one seems ideal. A fee-for-service system combined with a prospective payment schedule may offer the best compromise.","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"50 1","pages":"279-99"},"PeriodicalIF":0.0,"publicationDate":"1984-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83047935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Alternative Medicare financing sources. 替代性医疗保险融资来源。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1984-06-02 DOI: 10.2307/3349832
S. H. Long, T. Smeeding
{"title":"Alternative Medicare financing sources.","authors":"S. H. Long, T. Smeeding","doi":"10.2307/3349832","DOIUrl":"https://doi.org/10.2307/3349832","url":null,"abstract":"Medicare is financed principally by taxes--some of which burden the general population and others the elderly beneficiaries. Proposals to adjust these revenue sources are evaluated for equity, efficiency, stability, and administrative costs. A package is offered to redistribute the tax burden among all groups; it may also be good health policy.","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"1 1","pages":"325-48"},"PeriodicalIF":0.0,"publicationDate":"1984-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78958959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Comment on "Medicare financing reform: a new Medicare premium". 评论“医疗保险融资改革:一种新的医疗保险保费”。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1984-06-02 DOI: 10.2307/3349831
J. A. Meyer
{"title":"Comment on \"Medicare financing reform: a new Medicare premium\".","authors":"J. A. Meyer","doi":"10.2307/3349831","DOIUrl":"https://doi.org/10.2307/3349831","url":null,"abstract":"Concern for equity of financing among the elderly must not ignore questions of equity between the needs of Medicare beneficiaries and those of the nonelderly . Modest income-related cost-sharing, combined with the merger advocated, might improve fairness , efficiency, and coverage. But fundamental reform must involve new tax policies.","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"1 1","pages":"317-24"},"PeriodicalIF":0.0,"publicationDate":"1984-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74346049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Medicare financing reform: a new Medicare premium. 医疗保险融资改革:新的医疗保险保费。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1984-06-02 DOI: 10.2307/3349830
K. Davis, D. Rowland
{"title":"Medicare financing reform: a new Medicare premium.","authors":"K. Davis, D. Rowland","doi":"10.2307/3349830","DOIUrl":"https://doi.org/10.2307/3349830","url":null,"abstract":"The original and continuing promise of Medicare can be preserved only through a complex package of fiscal reforms. Central to this should be a merger of Hospital Insurance and Supplementary Medical Insurance into a single Medicare trust fund, financed in part through income-related beneficiary premiums. Benefits could be expanded, while improving access and equity.","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"14 1","pages":"300-16"},"PeriodicalIF":0.0,"publicationDate":"1984-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81976641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Comment on "Hospital reimbursement under Medicare". 评“医疗保险下的医院报销”。
The Milbank Memorial Fund quarterly. Health and society Pub Date : 1984-06-02 DOI: 10.2307/3349828
B. Vladeċk
{"title":"Comment on \"Hospital reimbursement under Medicare\".","authors":"B. Vladeċk","doi":"10.2307/3349828","DOIUrl":"https://doi.org/10.2307/3349828","url":null,"abstract":"The federal plan to establish uniform national rates under DRGs is a triumph of conceptual neatness over sound policy; it will produce no net savings to the Medicare trust fund. Proposals to contain hospital costs have yet to deal with uncompensated care, quality assurance, and the explicit integration of long-term care.","PeriodicalId":76697,"journal":{"name":"The Milbank Memorial Fund quarterly. Health and society","volume":"72 1","pages":"269-78"},"PeriodicalIF":0.0,"publicationDate":"1984-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87652805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
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