Abstract:
:Objectives. To quantify changes in US health care spending required to reach parity with high-resource nations by 2030 or 2040 and identify historical precedents for these changes.Methods. We analyzed multiple sources of historical and projected spending from 1970 through 2040. Parity was defined as the Organisation for Economic Co-operation and Development (OECD) median or 90th percentile for per capita health care spending.Results. Sustained annual declines of 7.0% and 3.3% would be required to reach the median of other high-resource nations by 2030 and 2040, respectively (3.2% and 1.3% to reach the 90th percentile). Such declines do not have historical precedent among US states or OECD nations.Conclusions. Traditional approaches to reducing health care spending will not enable the United States to achieve parity with high-resource nations; strategies to eliminate waste and reduce the demand for health care are essential.Public Health Implications. Excess spending reduces the ability of the United States to meet critical public health needs and affects the country's economic competitiveness. Rising health care spending has been identified as a threat to the nation's health. Public health can add voices, leadership, and expertise for reversing this course.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
McCullough JM,Speer M,Magnan S,Fielding JE,Kindig D,Teutsch SMdoi
10.2105/AJPH.2020.305793subject
Has Abstractpub_date
2020-12-01 00:00:00pages
1735-1740issue
12eissn
0090-0036issn
1541-0048journal_volume
110pub_type
杂志文章abstract::We analyzed the variation in the risk of AIDS in US Blacks, Hispanics, and other racial/ethnic groups relative to that in Whites (non-Hispanic) by geographic area and mode of acquiring HIV infection, based on data reported between June 1, 1981 and January 18, 1988 to the Centers for Disease Control and 1980 US census ...
journal_title:American journal of public health
pub_type: 杂志文章
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journal_title:American journal of public health
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doi:10.2105/AJPH.2006.099630
更新日期:2007-10-01 00:00:00
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更新日期:2009-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:1982-11-01 00:00:00
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doi:10.2105/ajph.72.8.835
更新日期:1982-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.122077
更新日期:2009-02-01 00:00:00
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更新日期:1986-02-01 00:00:00
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journal_title:American journal of public health
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更新日期:2015-02-01 00:00:00
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更新日期:1984-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300613
更新日期:2012-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 历史文章,杂志文章
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更新日期:2018-09-01 00:00:00
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doi:10.2105/AJPH.2014.302442
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更新日期:2014-07-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.12.1585
更新日期:1988-12-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.2105/AJPH.2014.302495
更新日期:2015-03-01 00:00:00