Rathwell T
Nuffield Institute for Health, University of Leeds, United Kingdom.
Health Policy. 1994 Jan 31;27(1):5-17. doi: 10.1016/0168-8510(94)90154-6.
Canada, in common with most countries, is re-examining its health care system. The main reasons for the reappraisal are the rising cost of health care and the growing unease that the cost is fast outstripping the capacity of the tax base to support it. This paper examines the way in which Canada's provinces are attempting to meet this health care challenge. It does this from two perspectives: first, through a consideration of the steps taken to control and/or cut costs and, second, by an exploration of the developing debate about rationing. The paper concludes with some comments about the potential policy implications of such issues.
与大多数国家一样,加拿大正在重新审视其医疗保健系统。重新评估的主要原因是医疗保健成本不断上升,以及人们越来越担心成本增长迅速超过了税收基础的支撑能力。本文探讨了加拿大各省应对这一医疗保健挑战的方式。这是从两个角度进行探讨的:第一,通过考虑为控制和/或削减成本所采取的措施;第二,通过探究有关医疗资源分配的讨论发展情况。本文最后对这些问题可能产生的政策影响发表了一些看法。