Chollet Deborah
Mathematica Policy Research, Washington, DC, USA.
Front Health Serv Manage. 2005 Summer;21(4):17-27.
This article outlines various strategies that have been proposed to expand health insurance. Many have been tried in limited ways, and the article describes the experience with those attempts. The discussion is organized from the perspective of the opposing points of view: approaches that would support private coverage and largely rely on demand incentives and approaches that presuppose a more direct government role. The article reaches no conclusion about which strategy might be a wiser course of action. However, it does take measure of the likely effects of each strategy where early experience or objective analysis is available.
本文概述了为扩大医疗保险而提出的各种策略。许多策略已在有限范围内进行了尝试,本文描述了这些尝试的经验。讨论是从对立观点的角度组织的:支持私人保险且主要依赖需求激励措施的方法,以及预先假定政府发挥更直接作用的方法。本文没有得出哪种策略可能是更明智行动方针的结论。然而,在有早期经验或客观分析的情况下,它确实衡量了每种策略可能产生的影响。