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引擎还是车尾:发展中国家的卫生政策

The engine or the caboose: health policy in developing countries.

作者信息

Goldsteen R L, Pereira J C, Goldsteen K

机构信息

Health Services Research Laboratory, Department of Health and Safety Studies, Champaign, IL 61820.

出版信息

Rev Saude Publica. 1990 Dec;24(6):523-7. doi: 10.1590/s0034-89101990000600012.

DOI:10.1590/s0034-89101990000600012
PMID:2103074
Abstract

A discussion of health policy in developing countries is presented. It argues that developing countries must adopt a progressive approach to health policy which rejects the two-tiered system of public and private health care. However, it also points out that ideology is not sufficient to maintain support. A progressive health system must utilize administrative and social and behavioral sciences to achieve effectiveness and efficiency in health care delivery. It cannot ignore these goals any more than a private health care system can.

摘要

本文对发展中国家的卫生政策进行了讨论。文中认为,发展中国家必须采取一种渐进的卫生政策方针,摒弃公共和私人医疗保健的二元体系。然而,它也指出,仅有意识形态不足以维持支持。一个渐进的卫生系统必须利用行政、社会和行为科学,以在医疗保健服务中实现有效性和效率。它不能忽视这些目标,正如私人医疗保健系统也不能忽视一样。

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