Chériha N, Zéribi-Benslimane O
Ecole Supérieure de Commerce de Tunis, Université de Tunis III.
Tunis Med. 2001 Oct;79(10):486-90.
This article introduces on-going reforms and the perspectives of evolution of the tunisian health system. After a review of how Tunisia is redefining its health system in two directions: management system and funding procedures, the authors focussed on the analysis of perspectives of health insurance and a unified health coverage system. The solution of health system problems cannot be found before undertaking a precise reformulation of health system objectives, such a reformulation needs to imply all contributing persons and institutions in order to preserve accessibility, equity, quality and performance. In fact, it is a requested to split from the current diverse and pluralistic system to unified and homogenous new system.
本文介绍了突尼斯卫生系统正在进行的改革及其发展前景。在回顾突尼斯如何在管理体系和筹资程序两个方向重新定义其卫生系统之后，作者着重分析了医疗保险和统一医疗覆盖体系的前景。在对卫生系统目标进行精确重新制定之前，无法找到解决卫生系统问题的办法，这样的重新制定需要所有相关人员和机构参与，以确保可及性、公平性、质量和绩效。事实上，需要从当前多样和多元的体系转向统一和同质的新体系。
