Hedges Jerris R, Handel Daniel A
John A. Burns School of Medicine, University of Hawai'i at Manoa, Honolulu, HI 96813-5534, USA.
Hawaii Med J. 2009 Jun;68(5):101-3.
Although there is consensus regarding the existence of a healthcare crisis, that point is where the consensus stops, even within defined professional and demographic groups. Clearly there is evidence that we must address a growing societal expenditure for healthcare, an aging and more complex patient population, a shortage of physicians and other health care providers, and health outcomes disparities amongst population groups. This article emphasizes how these factors impact healthcare nationally and in Hawai'i. The second part of this series outlines approaches that can enhance health in the United States without creating economic collapse.
尽管对于医疗保健危机的存在已达成共识，但即便在特定的专业群体和人口群体内部，这种共识也仅止于此。显然，有证据表明我们必须应对医疗保健方面不断增长的社会支出、老龄化且日益复杂的患者群体、医生及其他医疗服务提供者短缺，以及不同人群之间的健康结果差异等问题。本文着重阐述这些因素如何在全国范围内以及在夏威夷影响医疗保健。本系列的第二部分概述了在美国既能增进健康又不会导致经济崩溃的方法。
