Broadhead P
Department of Health, Tasmania.
Aust Health Rev. 1991;14(3):223-34.
Three approaches to funding health services: historical funding, population based funding and output based funding, are characterised. Having dismissed the first and most common of these, some of the merits and pitfalls of the two remaining approaches to funding health services are briefly examined and it is argued that although they may appear to be based upon separate and competing principles, the one seeking to maximise equity and the other efficiency, a reconciliation is possible by applying both, but at different levels.
历史筹资、基于人群的筹资和基于产出的筹资。在摒弃了其中第一种也是最常见的筹资方式后,简要探讨了其余两种卫生服务筹资方式的一些优点和缺陷。有人认为,尽管这两种方式看似基于相互独立且相互竞争的原则,一种追求公平最大化,另一种追求效率最大化,但通过同时应用这两种方式,但在不同层面上应用,有可能实现调和。