Hutchison Brian
Healthc Policy. 2013 Aug;9(1):12-25.
Strong primary care is a fundamental underpinning of high-performing health systems. Sadly, primary care infrastructure and performance in canada lag behind many of our international peers. Although substantial reforms have been implemented over the past decade, progress has been uneven, and no province has all the essential system elements in place. Continued investment is both needed and affordable. However, whether those investments - and others necessary to strengthen medicare - are made will be determined largely by the ongoing clash between communitarian and libertarian values.
强大的初级医疗保健是高效医疗体系的根本支撑。遗憾的是,加拿大的初级医疗保健基础设施和服务表现落后于许多国际同行。尽管在过去十年中实施了大量改革,但进展并不均衡,没有一个省份具备所有基本的体系要素。持续投资既必要又可行。然而,这些投资以及加强医疗保险所需的其他投资是否会进行,在很大程度上取决于社群主义和自由主义价值观之间持续的冲突。