000			01735naa a2200193uu 4500
001			0110913141237
003			OSt
005			20190218141918.0
008			101109s1987 xx ||||gr |0|| 0 fre d
100	1		_aBRECHER, Charles _936578
245	1	0	_aFinancement privé et réglementation : _bl'expérience du système de santé des États-Unis
260			_aParis : _bIIAP, _cjuil./sept. 1987
520	3		_aThe United States health care systems is distinguished by a relatively large share of expenditures made in private sector. However, despite some popular beliefs, this large role for private financing has not been associated with freedom from regulation. Private purchasers of care, including business and unions, are increasingly concerned with controlling costs. This has transformed the private health insurance industry from a system whose major purpose was to raise revenues for hospitals to one whose principal product is an ability to control medical care utilization by monitoring and regulating physicians behavior.
520	3		_aThis change in the indsutry is related to four trends - the use of experience rating, the participation of private firms in government programs, the growth of self-insurance, and vertical integration of insurers and providers. In addition, the recent substantial increase in the supply of physicians has weakened the previously strong political and economic position of the medical professional and made doctors more vulnerable to competitive pressures
773	0	8	_tRevue Française D'Administration Publique _g43, p. 137-150 _dParis : IIAP, juil./sept. 1987 _xISSN 01527401 _w
942			_cS
998			_a20101109 _b1314^b _cDaiane
998			_a20101122 _b1457^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c37219 _d37219
041			_afre