Wilensky G
Health Matrix. 1985 Fall;3(3):8-10.
The issue of access to health care has re-emerged on the national health care scene. Is health care accessible to those who need it, and why has this issue again risen to receive national attention? The three current indices of access to health care, the number of uninsured individuals, utilization of health care services, and health status, have revealed conflicting and insufficient data on the access to health care. However, they have revealed no major increase in the size of the problem. The renewed interest in the access problem stems from the emphasis on prudent buyer concepts by all of the major purchasers of health care and the resulting switch from implicit to explicit financing of health care--especially the health care of the uninsured.
医疗保健可及性问题再度出现在国家医疗保健领域。那些需要医疗保健的人能够获得医疗服务吗？为何这个问题再次引起全国关注？当前衡量医疗保健可及性的三个指标，即未参保人数、医疗服务利用率和健康状况，所揭示的有关医疗保健可及性的数据相互矛盾且不充分。然而，这些数据并未显示该问题的规模有大幅增加。对可及性问题重新产生的兴趣源于所有主要医疗保健购买者对谨慎购买者概念的强调，以及由此导致的医疗保健融资方式从隐性向显性的转变——尤其是未参保者的医疗保健融资。
