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多重优先事项压力下的卫生支出。以以色列为例的案例研究。

Health expenditure under multiple-priority pressures. A case study of Israel.

作者信息

Halevi H S, Ever-Hadani P

出版信息

Isr J Med Sci. 1979 Jan;15(1):43-54.

PMID:106023
Abstract

Since Israel's inception, it has faced many problems that have a high priority in the national consciousness. Problems of defense and national security are outstanding among these, and problems such as absorption of immigrants, education, land reclamation and water supply are next. This creates heavy pressure on scarce resources, and is reflected in the share of specific items in Government and national expenditures. An analysis of developments since the early 1950s shows how health expenditure has been given a high priority in the evaluation of the nation's needs on one hand, and has been influenced by defense needs and other pressing requests on the other hand. It may be concluded that health receives a fair share of the nation's resources, but, in view of the strained economic situation in the country, careful planning for future health services in coordination, cooperation and integration with other welfare services is essential.

摘要

自以色列建国以来,它面临着许多在国民意识中具有高度优先地位的问题。其中,国防和国家安全问题最为突出,其次是移民吸纳、教育、土地开垦和供水等问题。这给稀缺资源带来了沉重压力,并反映在政府和国家支出中特定项目的份额上。对20世纪50年代初以来发展情况的分析表明,一方面,卫生支出在评估国家需求时被赋予了高度优先地位;另一方面,它又受到国防需求和其他紧迫需求的影响。可以得出结论,卫生事业在国家资源中获得了合理份额,但鉴于该国紧张的经济形势,与其他福利服务协调、合作和整合,精心规划未来的卫生服务至关重要。

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