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While the translator has the ability to browse MeSH descriptors , the translation interface has been designed for direct editing of concepts and terms only . The health care system , because of these threats , faces a need to change in terms of partnerships , a need for flexibility in programming and a strain on resources . finest collections , the Northeast Children 's Literature Collection relies to a great degree upon donations of books and related materials . When selecting antidepressants , clinicians should consider costs , the small but statistically significant differences in dropouts due to adverse effects , the lack of information about relative benefits compared to alternative therapies ( e.g ., psychosocial and herbal ) , and the individual patient 's preferences and tolerance for particular adverse effects . Earlier detection also potentially would save millions of dollars in health-care costs , the scientists say . Because of relatively high per-unit costs , the United States tended to be a greater outlier in per capita spending than in per capita usage , although this may not reflect all price discounts provided directly to insurers.Components of Successful Review ProgramsAfter reviewing the drug processes , the researchers interviewed expert informants in each country . When government establishes a payment framework for purchasers-whether Medicare , Medicaid , or employer health plans-and uses that collective purchasing power to obtain better prices from providers , the rise in hospital costs is slowed , there is greater equity , and there is better access to care for the uninsured.Large purchasers such as Medicare , national managed care plans , and large employers can also obtain good deals on their own , but they are less effective both in controlling overall cost increases and in ensuring equitable payment and access.Achieving a High-Performance Health Care SystemGiven the resurgence in health care costs , the increasing numbers of uninsured , abundant evidence that the quality of care is not what we could have and have a right to expect , and the fact that administrative costs are now the fastest rising component of health care expenditures , it is time to consider a leadership role for the federal government in promoting efficiency and quality in the health care system.The greatest promise for improving the performance of the health care sector lies in : Public information on quality and longitudinal efficiency ( i.e ., total cost of care over an episode of illness ) of all health care providers.Private and public insurance incentive payments that reward hospitals and other providers demonstrating superior quality and efficiency . " While tradition holds that forcing young doctors to work extended-duration shifts teaches them to become better doctors , the evidence shows that this method of education is dangerous to patients .