通过调查旧金山圣弗朗西斯科海湾地区内17个急症处理医院中高费用病人的临床特点和发生率,以评价国家“灾祸”健康保险法在医疗系统中的作用。1976年,年医院费用超过4,000美元的病人在社区医院为4％,而在会诊医院为24％。这些病人的平均总费用亦随医院的类型而不同。儿科会诊医院的病人平均负担 Through the investigation of the clinical features and incidence of high-cost patients in 17 emergency treatment hospitals in San Francisco Bay area, San Francisco, to assess the role of the national “catastrophic” health insurance law in the health care system. In 1976, patients who spent more than 4,000 U.S. dollars per year in hospitals were 4% in community hospitals and 24% in consultation hospitals. The average total cost of these patients also varies with the type of hospital. Average patient burden in paediatric consultation hospitals