Roemer M I
Int J Health Plann Manage. 1987 Apr-Jun;2(2):109-24. doi: 10.1002/hpm.4740020205.
The article reviews, through a historical perspective, the development world-wide in social security systems for financing health care, considers the various patterns of health care funded by such systems, and identifies a number of the strengths and alleged weaknesses of the health insurance concept especially in the developing world. Though a range of options exists for mobilizing additional resources to the health sector, the adoption of statutory health insurance stands out as the single most practical strategy for increasing expenditures in health systems--especially expenditures on organized patterns of delivering primary health care.
本文从历史角度回顾了全球范围内用于资助医疗保健的社会保障体系的发展情况,探讨了由这些体系资助的各种医疗保健模式,并指出了医疗保险概念的一些优点以及所谓的缺点,特别是在发展中世界。尽管为卫生部门筹集更多资源有一系列选择,但法定医疗保险的采用是增加卫生系统支出,尤其是增加初级卫生保健有组织提供模式支出的最切实可行的单一战略。