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权力与变革:瑞典十字路口的初级卫生保健

Power and change: primary health care at the crossroads in Sweden.

作者信息

Hessler R M, Twaddle A C

出版信息

Hum Organ. 1986 Summer;45(2):134-47. doi: 10.17730/humo.45.2.96613h58k02x6731.

DOI:10.17730/humo.45.2.96613h58k02x6731
PMID:10278905
Abstract

This paper is based on in-depth interviews with members of Sweden's medical interest groups involved in a national effort to control health care costs. Sweden is faced with escalating costs due primarily to a growing high technology hospital sector. Simultaneously, consumer demand for primary care services and for gerontological care is rising rapidly. The Swedish way of changing the health care system is described and an analysis of the power struggle between physicians, health care bureaucrats and politicians is presented.

摘要

本文基于对瑞典医疗利益集团成员的深入访谈,这些集团参与了一项控制医疗成本的全国性努力。瑞典主要由于高科技医院部门不断扩大而面临成本不断上升的问题。与此同时,消费者对初级保健服务和老年护理的需求正在迅速增长。本文描述了瑞典改变医疗保健系统的方式,并对医生、医疗保健官僚和政治家之间的权力斗争进行了分析。

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