Department of Family and Community Medicine, Al Fateh University, Tripoli, Libya and Department of Pediatric Gastroenterology, Nutrition and Mucoviscidoses, Hôpital Robert Debré, Paris, France.
Libyan J Med. 2008 Dec 1;3(4):186-91. doi: 10.4176/081009.
All public systems look for the best organizational structure to funnel part of their national income into healthcare services. Appropriate policies may differ widely across country settings. Most healthcare systems fall under one of two broad categories, either Bismark or Beveridge systems. There is no simple ideal model for the organization of health services, but most healthcare systems that follow the Beveridge healthcare model are poor performers. The Libyan Health system is a low responsive, inefficient and underperforming system that lacks goals and/or SMART. (Specific, Measurable, Achievable, Realistic, Time specific) objectives. A look at different organization models in the world would reinforce efforts to reorganize and improve the performance of the Libyan National Healthcare services. The French Health Care System (FHCS) ranked first according to the WHO and the European Health Consumer Powerhouse. The FHCS was described to have a technically efficient, generous healthcare system that provides the best overall health care. This makes the FHCS a practical model of organization having many of the essential aspects of a modern national health service. In this review, we describe the main features of the FHCS, current challenges and future trends with particular attention paid to aspects that could be of importance to the Libyan Healthcare System.
所有公共系统都在寻找最佳的组织结构，将部分国民收入投入到医疗保健服务中。适当的政策可能因国家环境而异。大多数医疗保健系统都属于以下两种广泛类别之一，即俾斯麦或贝弗里奇系统。没有简单的理想模型可以组织医疗服务，但大多数遵循贝弗里奇医疗保健模式的医疗保健系统表现不佳。利比亚卫生系统是一个反应迟钝、效率低下且表现不佳的系统，缺乏目标和/或 SMART（具体、可衡量、可实现、现实、有时间限制）目标。研究世界上不同的组织模式将加强努力，重组和改善利比亚国家医疗保健服务的绩效。根据世界卫生组织和欧洲卫生消费者强国的排名，法国医疗保健系统（FHCS）排名第一。FHCS 被描述为拥有技术上高效、慷慨的医疗保健系统，提供最佳的整体医疗保健。这使得 FHCS 成为一个实用的组织模式，具有现代国家卫生服务的许多基本方面。在本次综述中，我们描述了 FHCS 的主要特点、当前挑战和未来趋势，特别关注对利比亚医疗保健系统可能重要的方面。
