http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-2.xsd
the evolution of national health expenditures
"This book frames the evolutionary path of medicine and provides a useful forecasting model. Tracing health spending from ancient times to the present with a single ratio, health expenditures as a share of income, reveals an s-shaped growth curve, rising rapidly after science made therapies more effective and more expensive, inflecting as the rate of expansion peaked with the coalescence of national health systems in the 1960s, and decelerating after 1975. Medicine became qualitatively different as it scaled up along therapeutic, organizational, financial, and moral dimensions. The development of health insurance and changes in the flow of funds made macro effects on total spending different from micro determinants of allocation. Institutional inertia and lags require a span of observation long enough to distinguish temporary fluctuations from shifts in trend"--
Introduction : The Transformation of Medicine -- Hammurabi to Middlemarch, 1750 BCE to 1850 CE -- The Rise of Modern Medicine, 1880-1975 -- Global and National Market Trends 1950-2020 -- Scaling Up -- Contracts : Buying & Selling Medicine -- USA : A Case Study of Leadership and Excess -- Population Aging -- Temporary Fluctuations, Trend Shifts, Lags, and Inertia -- Measuring NHE : Accounting, Boundaries and Budgets -- Forecasting National Health Expenditures: 2030 to 2130 -- Conclusion : Seeing the Growth Curve Bend.
Includes bibliographical references and index.
New York, NY : Oxford University Press, [2022]