INTERNATIONAL HEALTH CARE REFORM: THE NEED FOR COMPREHENSIVE MICRO‐COMPARATIVE ANALYSIS

Robert J. Parsons, Gary M. Woller, Günther Neubauer, Frank Rothaermel () and Barbara Zelle

Review of Policy Research, 2000, vol. 17, issue 1, 1-31

Abstract: Microcomparison, or single‐component analysis, of health care systems offers a potentially better basis for reform than traditional macrocomparison analysis of aggregate elements. Using macroanalysis, available evidence shows that Germany provides cheaper but more effective hospital care than the United States. To find the causes for this outcome, we developed a microanalytic model of hospital administrators’ perceptions, financial ratios, medical outcomes, and pharmaceutical costs. However, only data on pharmaceutical costs were available and similar in both countries. Our significant outcome was development of a microcomparative model that gives world medical care providers new criteria for analyzing and improving cost to care rafios.

Date: 2000
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