Frenk J, Donabedian A
Health Policy Plan. 1987 Mar;2(1):17-31. doi: 10.1093/heapol/2.1.17.
This article attempts to develop some of the basic elements for a theory of state intervention in medical care. First, a typology of state intervention is proposed based on two dimensions: the form of state control over the production of medical services and the basis for eligibility of the population. The resulting twelve types provide a means of describing national patterns of state intervention at a given point in time. Next, in order to analyse the changing patterns of state intervention in medical care over time, changes in state control and population coverage are used to construct three hypothetical 'paths' of state intervention, which may serve to depict broad historical trends in major groups of countries. In the final section, several variables are analysed according to their expected effect on the patterns of convergence and divergence in the form and degree of state intervention between countries. This cross-national comparative perspective is offered as a strategy for building a theory capable of explaining state intervention, a process that, to a large extent, informs the medical experience of today.
本文试图阐述国家干预医疗保健理论的一些基本要素。首先，基于两个维度提出了国家干预的类型学：国家对医疗服务生产的控制形式以及人口资格认定的依据。由此产生的十二种类型提供了一种描述特定时间点国家干预的全国模式的方法。接下来，为了分析国家干预医疗保健随时间的变化模式，利用国家控制和人口覆盖范围的变化构建了三种假设的国家干预“路径”，这可能有助于描绘主要国家群体的广泛历史趋势。在最后一部分，根据几个变量对国家间国家干预的形式和程度的趋同和分歧模式的预期影响进行了分析。这种跨国比较视角被作为构建一种能够解释国家干预的理论的策略提出，而这一过程在很大程度上影响着当今的医疗体验。
