Koff S Z
Milbank Mem Fund Q Health Soc. 1975 Summer;53(3):377-401.
This paper deals with the system of emergency medical services in Italy. More specifically, it is a case study of the organization and operation of this system in the region of Tuscany. Recent decentralization decrees have established regional governments with major responsibilities for health care, including emergency medical services. The effects of a long history of social and political cleavages on provision of these services at the regional level are presented and discussed. The paper concludes that prospects for rational reform of emergency care service are dim.
本文探讨了意大利的紧急医疗服务体系。更具体地说，这是对该体系在托斯卡纳地区的组织与运作的一项案例研究。近期的权力下放法令设立了对包括紧急医疗服务在内的医疗保健负有主要责任的地区政府。文中呈现并讨论了长期社会和政治分裂历史对地区层面这些服务提供的影响。本文得出结论，紧急护理服务合理改革的前景渺茫。
