加拿大和沙特阿拉伯医疗保健系统的比较研究：经验与启示。

A comparative study of the health care systems of Canada and Saudi Arabia: lessons and insights.

出版信息

Int Dent J. 2009 Oct;59(5):277-83.

PMID:19998662

Abstract

INTRODUCTION

Understanding the structure of a health care system is essential in improving public health policies and health outcomes.

OBJECTIVES

To describe and compare the health care systems of Canada and Saudi Arabia; to discuss possible lessons that could be learned from both for policy-making purposes.

METHODS

A comprehensive method was used to describe the national health care systems of both countries. For each country, the system is described by: context, ownership, delivery, financing, organisational structure, target groups, and comprehensiveness of services.

RESULTS

In Canada, the Medicare system provides comprehensive medical services except for dental, optometric, chiropractic, pharmacologic and home care services. The dental care system is financed privately (94%) and is owned and delivered by private for-profit dental practitioners. In Saudi Arabia, the government sector is owned, delivered, and financed by the government and provides free comprehensive medical and dental services. The same services are provided by the private sector, but under governmental supervision. Among the relevant lessons: access to care, accountability, quality assurance, mix and reimbursement of providers.

CONCLUSIONS

Canada can learn about different approaches to socialising the dental care system. Saudi Arabia can improve the implementation of quality assurance practices and management.

摘要

简介

了解医疗保健系统的结构对于改善公共卫生政策和健康结果至关重要。

目的

描述和比较加拿大和沙特阿拉伯的医疗保健系统；讨论可以为政策制定目的从两国吸取的经验教训。

方法

采用综合方法描述了这两个国家的国家医疗保健系统。对于每个国家，系统都是通过以下方面来描述的：背景、所有权、提供、融资、组织结构、目标群体以及服务的全面性。

结果

在加拿大，医疗保险系统提供全面的医疗服务，但不包括牙科、验光、脊骨疗法、药理学和家庭护理服务。牙科保健系统由私人（94%）出资，由私营营利性牙医拥有和提供。在沙特阿拉伯，政府部门拥有、提供和资助政府，并提供免费的全面医疗和牙科服务。私营部门也提供相同的服务，但在政府的监督下。相关的经验教训包括：获得护理、问责制、质量保证、提供者的组合和报销。