Saltman R B, von Otter C
Health Policy. 1987 Feb;7(1):21-40. doi: 10.1016/0168-8510(87)90043-1.
This article examines the health policy opportunities presented by building market-style incentives into the structure of a national public health system. The goal is to develop a service delivery model which can achieve simultaneously high levels of patient service, economic efficiency and social responsibility. The article develops its "public competition" approach implicitly, through a detailed case study of the Swedish health care system. The broad theory appears to hold promise for a variety of existing and emerging national public health systems in Europe.
本文探讨了通过将市场式激励机制融入国家公共卫生系统结构所带来的卫生政策机遇。目标是建立一种服务提供模式，该模式能同时实现高水平的患者服务、经济效率和社会责任。本文通过对瑞典医疗保健系统的详细案例研究，隐性地阐述了其“公共竞争”方法。这一宽泛的理论似乎为欧洲各种现有的和新兴的国家公共卫生系统带来了希望。
