Samman S, Plant A J
Department of Biochemistry, University of Sydney, NSW, Australia.
J Int Fed Clin Chem. 1996;8(1):22-4.
Medicare is Australia's universal system of health insurance, which is based on the principles of equity. It provides free accommodation and treatment in public hospitals and entitlement to medical services. Laboratories receive reimbursement from Medicare if they are accredited. Hospital funding may be directly funded, whereas in some States the funding is through structures such as Health Areas. There are increasing moves to determine the hospital share of funding based on the number and types of hospital cases. To lower the cost of Medicare, the Federal Government is considering reforms including those which will allow private health insurers to negotiate with doctors and hospitals. Some of the major issues facing the health care system are: (1) how best to deliver care to Aboriginal Australians, (2) overspending, particularly in high-technology medicine, and (3) provision of health care for the small but significant number of Australians who do not live in major metropolitan centers.
医疗保险是澳大利亚的全民医疗保险制度,基于公平原则。它提供公立医院的免费住宿和治疗以及医疗服务的权益。经认可的实验室可从医疗保险获得报销。医院资金可能直接提供,而在一些州,资金是通过诸如健康区等架构提供。越来越倾向于根据医院病例的数量和类型来确定医院的资金份额。为降低医疗保险成本,联邦政府正在考虑改革,包括允许私人健康保险公司与医生和医院进行谈判的改革。医疗保健系统面临的一些主要问题是:(1)如何以最佳方式为澳大利亚原住民提供护理,(2)支出超支,尤其是在高科技医疗方面,以及(3)为数量虽少但相当可观的不住在主要大城市中心的澳大利亚人提供医疗保健。