LaPierre Tracey A
Department of Sociology at the University of Kansas, USA.
J Health Care Finance. 2012 Summer;38(4):1-18.
The purpose of this article is to provide an informed comparison of health care in the United States and Canada along multiple dimensions. Specifically this article looks at coverage, access, cost, health outcomes, satisfaction, and underlying ideology. Canada fares better than the United States with regard to coverage, cost, and health outcomes. While overall access is better in Canada, patients are sometimes required to endure longer wait times than in the United States. Reports of satisfaction levels vary across studies, but most evidence points toward comparable levels of satisfaction in Canada and the United States. Strong ideological differences underlie the Canadian and American systems, making the acceptance and implementation of certain reforms difficult. The potential impact of the US Patient Protection and Affordable Care Act (PPACA), as well as recent Canadian health care reforms on coverage, access, cost, and health outcomes are also discussed.
本文旨在对美国和加拿大的医疗保健在多个维度上进行全面比较。具体而言，本文考察了医保覆盖范围、可及性、成本、健康结果、满意度以及潜在理念。在医保覆盖范围、成本和健康结果方面，加拿大比美国表现更好。虽然加拿大的总体可及性更好，但患者有时需要比在美国忍受更长的等待时间。不同研究中关于满意度水平的报告各不相同，但大多数证据表明加拿大和美国的满意度水平相当。加拿大和美国的医疗体系存在强烈的理念差异，这使得某些改革的接受和实施变得困难。本文还讨论了美国《患者保护与平价医疗法案》（PPACA）以及加拿大近期医疗保健改革对医保覆盖范围、可及性、成本和健康结果的潜在影响。
