School of Health Sciences and Social Work, Växjö University, and Department of Health Sciences, Division of Geriatric Medicine, Lund University, Sweden.
Health Res Policy Syst. 2010 Jun 22;8:20. doi: 10.1186/1478-4505-8-20.
Sharing knowledge and experience internationally can provide valuable information, and comparative research can make an important contribution to knowledge about health care and cost-effective use of resources. Descriptions of the organisation of health care in different countries can be found, but no studies have specifically compared the legal and formal organisational systems in Sweden and China.
To describe and compare health care in Sweden and China with regard to legislation, organisation, and finance.
Literature reviews were carried out in Sweden and China to identify literature published from 1985 to 2008 using the same keywords. References in recent studies were scrutinized, national legislation and regulations and government reports were searched, and textbooks were searched manually.
The health care systems in Sweden and China show dissimilarities in legislation, organisation, and finance. In Sweden there is one national law concerning health care while in China the law includes the "Hygienic Common Law" and the "Fundamental Health Law" which is under development. There is a tendency towards market-orientated solutions in both countries. Sweden has a well-developed primary health care system while the primary health care system in China is still under development and relies predominantly on hospital-based care concentrated in cities.
Despite dissimilarities in health care systems, Sweden and China have similar basic assumptions, i.e. to combine managerial-organisational efficiency with the humanitarian-egalitarian goals of health care, and both strive to provide better care for all.
国际间知识与经验的交流能够提供有价值的信息,比较性研究对医疗保健知识和资源的高效利用做出了重要贡献。虽然有很多关于不同国家医疗保健组织的描述性研究,但还没有专门针对瑞典和中国的法律和正式组织系统进行比较的研究。
描述并比较瑞典和中国的医疗保健,内容涉及立法、组织和财政。
在瑞典和中国进行文献回顾,使用相同的关键词,找出 1985 年至 2008 年间发表的文献。仔细研究近期研究的参考文献,搜索国家立法和法规以及政府报告,并手工搜索教科书。
瑞典和中国的医疗保健系统在立法、组织和财政方面存在差异。瑞典有一项关于医疗保健的国家法律,而中国的法律包括《卫生基本法》和正在制定中的《基本医疗保健法》。两国都有向市场化解决方案发展的趋势。瑞典拥有发达的初级卫生保健系统,而中国的初级卫生保健系统仍在发展中,主要依赖城市集中的医院为基础的医疗服务。
尽管医疗保健系统存在差异,但瑞典和中国具有相似的基本假设,即结合管理组织效率与医疗保健的人道主义平等目标,并且都努力为所有人提供更好的医疗服务。