School of Health and Human Services, University of Baltimore, Baltimore, USA.
Int J Health Policy Manag. 2014 Feb 19;2(2):97-9. doi: 10.15171/ijhpm.2014.23. eCollection 2014 Feb.
McDonough's perspective on healthcare reform in the US provides a clear, coherent analysis of the mix of access and delivery reforms in the Affordable Care Act (ACA) aka Obamacare. As noted by McDonough, this major reform bill is designed to expand access for health coverage that includes both prevention and treatment benefits among uninsured Americans. Additionally, this legislation includes several financial strategies (e.g. incentives and penalties) to improve care coordination and quality in the hospital and outpatient settings while also reducing healthcare spending and costs. This commentary is intended to discuss this mix of access and delivery reform in terms of its potential to achieve the Triple Aim: population health, quality, and costs. Final remarks will include the role of the US federal government to reform the American private health industry together with that of an informed consume.
麦克唐纳对美国医疗改革的看法提供了对平价医疗法案（ACA）中准入和服务改革的清晰、连贯的分析，也被称为奥巴马医改。正如麦克唐纳所指出的，这项重大改革法案旨在扩大医疗保险的覆盖面，包括为没有保险的美国人提供预防和治疗福利。此外，该立法还包括了一些财务策略（例如激励和惩罚），以改善医院和门诊环境中的医疗协调和质量，同时降低医疗保健支出和成本。本评论旨在根据其实现三重目标（人口健康、质量和成本）的潜力来讨论这种准入和服务改革的组合。最后将包括美国联邦政府在改革美国私营医疗保健行业方面的作用，以及知情消费者的作用。
