Wendt C
Mannheimer Zentrum für Europäische Sozialforschung (MZES), Universität Mannheim, Germany.
Gesundheitswesen. 2006 Oct;68(10):593-9. doi: 10.1055/s-2006-927046.
The article provides an overview on the state of research with regard to a comparative analysis of health care systems. The focus is on the financing, provision, and regulation of health care systems. Finally, some concepts are discussed which aim at the development of a typology of health care systems. It is demonstrated that existing models (for instance, a Beveridge versus a Bismarck type of system or a National Health Service type versus a Social Insurance type) are not sufficient to capture the accelerating change of health care systems in a systematic way. The development of a health care system typology, based on concepts which are discussed in this article, is a promising objective of future research.
本文概述了医疗保健系统比较分析的研究现状。重点在于医疗保健系统的融资、提供和监管。最后,讨论了一些旨在构建医疗保健系统类型学的概念。结果表明,现有的模式(例如,贝弗里奇模式与俾斯麦模式,或国民医疗服务模式与社会保险模式)不足以系统地把握医疗保健系统加速变化的情况。基于本文所讨论概念构建医疗保健系统类型学是未来研究的一个有前景的目标。