PubMed · 6792539
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E J Volpintesta. 1981-10-08. How much is too much?. https://doi.org/10.1056/nejm198110083051520
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Core public health functions (i.e., essential public health services) are activities that public health departments and other partners undertake to protect and ensure the health of the public. Although total spending for public health programs in the United States has been estimated (1), expenditures for core public health functions have not been characterized. To characterize such expenditures, the Public Health Service (PHS) and the Public Health Foundation (PHF) surveyed senior public health officials in eight states (Connecticut, Illinois, Iowa, Missouri, New York, Oregon, Rhode Island, and Texas [combined 1990 population: 61.4 million]) and used the survey data to estimate national expenditures for core functions during fiscal year 1993 (October 1992-September 1993). This report summarizes the results of that survey (2).(ABSTRACT TRUNCATED AT 250 WORDS)
An effort to make the public appreciate the real cost of medical services has led to the development of an extensive medical-information and billing system in New Brunswick that uses a personal-information card. Likened to a credit card with unlimited credit, each has a magnetic strip with essential personal information with which to feed a province-wide computer system that eventually will link medicare, patients, doctors, prescription-drug programs and hospitals. The province hopes to have a pilot project running by year's end and then to introduce the system region by region.
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