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医疗改革的前提条件:经合组织国家的经验

Preconditions for health reform: experiences from the OECD countries.

作者信息

Schieber G J

机构信息

World Bank, USA.

出版信息

Health Policy. 1995 Apr-Jun;32(1-3):279-93. doi: 10.1016/0168-8510(95)00740-j.

DOI:10.1016/0168-8510(95)00740-j
PMID:10156643
Abstract

This paper discusses the basic conditions necessary for the successful implementation of health sector reforms. Lessons from health sector reforms in the 24 western industrialized member countries of the Organization for Economic Cooperation and Development (OECD) are discussed and applied in the context of reform efforts in developing countries. Reform areas addressed include: public and private institutional infrastructure development, financing arrangements, benefit design, eligibility determination, reimbursement and cost control methods, and service delivery system configurations.

摘要

本文讨论了卫生部门改革成功实施所需的基本条件。探讨了经济合作与发展组织(经合组织)24个西方工业化成员国卫生部门改革的经验教训,并将其应用于发展中国家的改革努力背景中。所涉及的改革领域包括:公共和私立机构基础设施发展、筹资安排、福利设计、资格确定、报销和成本控制方法以及服务提供系统配置。

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