Saltman R B
Division of Health Policy and Management, Emory School of Public Health, Atlanta, GA 30329.
Health Care Financ Rev. 1992 Summer;13(4):157-66.
Health care systems in Sweden, Finland, and Denmark are in the midst of substantial organizational reconfiguration. Although retaining their tax-based single source financing arrangements, they have begun experiments that introduce a limited measure of competitive behavior in the delivery of health services. The emphasis has been on restructuring public operated hospitals and health centers into various forms of public firms, rather than on the privatization of ownership of institutions. If successful, the reforms will enable these Nordic countries to combine their existing macroeconomic controls with enhanced microeconomic efficiency, effectiveness, and responsiveness to patients.
瑞典、芬兰和丹麦的医疗保健系统正处于大规模的组织重构之中。尽管保留了基于税收的单一资金来源安排，但它们已开始进行试验，在医疗服务提供方面引入有限度的竞争行为。重点一直是将公立运营的医院和医疗中心重组为各种形式的公共企业，而非机构所有权的私有化。如果改革成功，将使这些北欧国家能够把现有的宏观经济控制与提高微观经济效率、成效以及对患者的响应能力结合起来。
