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俄勒冈州的医疗保健计划:一个州的模式。

Oregon's health care plan: one state's model.

作者信息

Martin A

出版信息

J Health Soc Policy. 1995;6(4):25-35. doi: 10.1300/J045v06n04_02.

Abstract

The Oregon plan has had a significant impact in the U.S., sparking a public debate over issues such as cost-containment and access. This paper follows the Oregon health care plan from its beginnings in 1987 to the present, discussing the plan's pros and cons, the final outcome of the proposed legislation, and its relation to the national health care reform package proposed by President Clinton. Arguments for the plan have included: its innovativeness, its plans to expand accessibility and contain health care costs, and its encouragement of public involvement in health care issues. Arguments against the plan are: it provides no guarantee of a minimal level of services for medical recipients and it rations health care for the poor based on prioritization of condition-treatment pairs.

摘要

俄勒冈计划在美国产生了重大影响,引发了关于成本控制和医疗服务可及性等问题的公开辩论。本文追溯了俄勒冈医疗保健计划从1987年起源至今的历程,讨论了该计划的优缺点、拟议立法的最终结果,以及它与克林顿总统提出的全国医疗保健改革方案的关系。支持该计划的理由包括:其创新性、扩大医疗服务可及性和控制医疗保健成本的计划,以及鼓励公众参与医疗保健问题。反对该计划的理由是:它不能保证为医疗接受者提供最低水平的服务,并且根据病症-治疗组合的优先级为穷人配给医疗保健服务。

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