Promoting Population Health through Financial Stewardship

作者:Ubel Peter A*; Jagsi Reshma
来源:New England Journal of Medicine, 2014, 370(14): 1280-1281.
DOI:10.1056/NEJMp1401335

摘要

Health care costs are straining budgets throughout the developed world, threatening the fiscal solvency of governments, employers, and individuals. Many countries are trying to restrain health care spending through top-down approaches, such as price regulation and even refusal to reimburse for interventions that are not cost-effective. Still controversial is the role that physicians should play in controlling health care costs. For instance, the Choosing Wisely campaign of the American Board of Internal Medicine Foundation encourages physicians to avoid interventions that "may be unnecessary, and in some instances can cause harm," but it does not ask physicians to contemplate trading off . . . Financial stewardship of health care resources promotes population health by increasing access to affordable care, reducing pressure on health care institutions to cut back on important services, and freeing up resources for other activities that improve health.

  • 出版日期2014-4-3