La Forgia Gerard, Levine Ruth, Díaz Arismendi, Rathe Magdalena
The World Bank, 1818 H St. NW, Washington, DC 20433, USA.
Health Policy. 2004 Feb;67(2):173-86. doi: 10.1016/s0168-8510(03)00117-9.
Despite relatively high levels of total spending and enormous growth in the supply of services during five decades, the Dominican health system demonstrates low performance in addressing the health needs of its population, ensuring acceptable quality of care, reducing the financial burden of health care on the poor, or providing adequate insurance coverage for those with the ability to pay. The paper analyzes deficiencies in financing, organization and delivery of health services in both the public and private sectors. The paper argues that government failure has undermined the health system and health care. Despite calls for reforms, attempts to restructure the system have not yet taken shape.
尽管在五十年间总支出水平相对较高且服务供给大幅增长，但多米尼加卫生系统在满足民众健康需求、确保可接受的医疗质量、减轻穷人医疗保健的经济负担或为有支付能力者提供足够保险覆盖方面表现不佳。本文分析了公共和私营部门卫生服务在融资、组织和提供方面的缺陷。本文认为，政府失灵破坏了卫生系统和医疗保健。尽管呼吁进行改革，但重组该系统的尝试尚未成形。
