Armstrong Bruce K, Gillespie James A, Leeder Stephen R, Rubin George L, Russell Lesley M
Sydney Cancer Centre, Sydney, NSW, Australia.
Med J Aust. 2007 Nov 5;187(9):485-9. doi: 10.5694/j.1326-5377.2007.tb01383.x.
The next Australian Government will confront major challenges in the funding and delivery of health care. These challenges derive from: Changes in demography and disease patterns as the population ages, and the burden of chronic illness grows; Increasing costs of medical advances and the need to ensure that there are comprehensive, efficient and transparent processes for assessing health technologies; Problems with health workforce supply and distribution; Persistent concerns about the quality and safety of health services; Uncertainty about how best to balance public and private sectors in the provision and funding of health services; Recognition that we must invest more in the health of our children; The role of urban planning in creating healthy and sustainable communities; and Understanding that achieving equity in health, especially for Indigenous Australians, requires more than just providing health care services. The search for effective and lasting solutions will require a consultative approach to deciding the nation's priority health problems and to designing the health system that will best address them; issues of bureaucratic and fiscal responsibility can then follow.
下一届澳大利亚政府将在医疗保健的资金投入和服务提供方面面临重大挑战。这些挑战源于:随着人口老龄化,人口结构和疾病模式发生变化,慢性病负担加重;医学进步带来的成本增加,以及需要确保有全面、高效和透明的流程来评估卫生技术;卫生人力的供应和分配问题;对医疗服务质量和安全的持续担忧;在卫生服务的提供和资金投入方面,如何在公共部门和私营部门之间实现最佳平衡存在不确定性;认识到我们必须在儿童健康方面投入更多;城市规划在创建健康和可持续社区方面的作用;以及理解实现健康公平,特别是对澳大利亚原住民而言,不仅仅需要提供医疗服务。寻求有效和持久的解决方案将需要一种协商方式,以确定国家优先的健康问题,并设计出最能解决这些问题的卫生系统;然后才能解决官僚和财政责任问题。