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管理式竞争的鲜活典范:与荷兰卫生部长阿布·克林克的对话。采访人:阿兰·恩托芬

A living model of managed competition: a conversation with Dutch health minister Ab Klink. Interview by Alain Enthoven.

作者信息

Klink Ab

出版信息

Health Aff (Millwood). 2008 May-Jun;27(3):w196-203. doi: 10.1377/hlthaff.27.3.w196. Epub 2008 Apr 8.

DOI:10.1377/hlthaff.27.3.w196
PMID:18397934
Abstract

As of 2006, the Netherlands requires all citizens to buy a standard package of health benefits from private insurers. The government subsidizes premiums for those with low incomes and requires insurers to accept all purchasers. This mixed private-public approach to universal coverage has emerged as a potential reform model for the United States. In this November 2007 interview, Dutch health minister Ab Klink discussed his country's system with Alain Enthoven. Enthoven is one of the chief architects of the "managed competition" model that laid the groundwork for the Clinton administration reform proposal in the 1990s and pending legislation in the Senate, as well as the current Dutch approach.

摘要

截至2006年,荷兰要求所有公民从私人保险公司购买一份标准的健康福利套餐。政府为低收入者补贴保险费,并要求保险公司接纳所有购买者。这种公私混合的全民医保方式已成为美国一种潜在的改革模式。在2007年11月的这次采访中,荷兰卫生部长阿布·克林克与阿兰·恩托芬讨论了该国的医保体系。恩托芬是“管理式竞争”模式的主要设计者之一,该模式为20世纪90年代克林顿政府的改革提案以及参议院待决立法奠定了基础,也是当前荷兰所采用方式的基础。

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