Saltman R B
University of Massachusetts, Amherst.
Milbank Q. 1990;68(4):597-618.
Sweden has had success containing its overall rate of health expenditures without compromising its citizens' well-being. Nevertheless, the country's health system has recently faced organizational problems, including queues for elective surgery; inadequate continuity of care; shortages of personnel; and pressures from patients for greater influence over care. County councils have begun experiments in "comparative competition" among public and/or private providers, to expand patient choices, and to link the choices to providers' salaries and institutional budgets. If these experiments in planned market approaches prove effective, Sweden may again serve as a model for publicly operated health systems.
瑞典在不损害公民福祉的情况下，成功控制了总体医疗支出率。然而，该国的医疗系统最近面临组织问题，包括择期手术排队、护理连续性不足、人员短缺以及患者要求对护理有更大影响力的压力。郡议会已开始在公共和/或私人医疗服务提供者之间进行“比较竞争”试验，以扩大患者选择范围，并将这些选择与医疗服务提供者的薪酬和机构预算挂钩。如果这些计划中的市场方法试验证明有效，瑞典可能会再次成为公共运营医疗系统的典范。
