Seidman Guy I
Interdisciplinary Center Herzliya, Israel.
Am J Law Med. 2010;36(2-3):452-81. doi: 10.1177/009885881003600209.
Israel presents an intriguing conundrum: on the one hand, it provides quality healthcare in a near-universal healthcare system; on the other, it has maintained healthcare costs level at approximately 7.7% of GDP. This comes at a time when all western nations struggle with one or both sides of the equation: how to offer affordable, good quality health care to the population while curbing the sharp rise in health related costs. This paper explains both how Israel has achieved this 'flat line" effect and the social and political costs of this achievement.
一方面,它在近乎全民医保的体系中提供高质量医疗服务;另一方面,它将医疗成本维持在国内生产总值(GDP)的约7.7%的水平。而此时所有西方国家都在等式的一边或两边苦苦挣扎:如何在抑制与医疗相关成本急剧上升的同时,为民众提供负担得起的优质医疗服务。本文将解释以色列是如何实现这种“平稳”效果的,以及这一成就所带来的社会和政治成本。