Casscells S Ward, Critchley Hiliary P, Herbst-Greer Stephanie M, Kaiser Larry, Zogby John
University of Texas Health Science Center at Houston, Houston, Texas 77030, USA.
Trans Am Clin Climatol Assoc. 2010;121:267-79; discussion 279-80.
During a time of uncertainty regarding the future of the American health care system, an assessment, over time, of Americans' opinion on different legislative or health policy directions is a valuable asset to decision makers. After polling over 10,000 Americans via three polls on these topics over four months, a few distinct trends have emerged. When it comes to health care reform, Americans want a "tune-up," not a "trade-in" of their health care system by implementing reforms that allow the system to work more efficiently for the largest number of people possible, paying for it through savings found by reducing extraneous and wasteful spending and by increasing the quality of care. A clear sense of equity is also evident, as a majority do not agree with insurance companies using pre-existing health conditions as a metric in determining eligibility and believe in mandating that those who are employed, except for the smallest companies, should be covered.
在美国医疗保健系统未来充满不确定性的时期，随着时间推移，评估美国人对不同立法或卫生政策方向的看法，对决策者而言是一项宝贵财富。在四个月内就这些主题通过三次民意调查对一万多名美国人进行民意测验后，出现了一些明显的趋势。在医疗保健改革方面，美国人希望进行“微调”，而非通过实施改革来“更换”他们的医疗保健系统，这些改革要让该系统尽可能为最多的人更高效地运作，并通过减少不必要和浪费性支出以及提高医疗质量所节省的资金来为此买单。公平意识也很明显，因为大多数人不同意保险公司将已有健康状况作为确定资格的衡量标准，并认为除最小的公司外，应强制要求就业人员参保。
