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塞尔维亚的医疗保健经济学:当前问题与变革

Health care economics in Serbia: current problems and changes.

作者信息

Stosić Sanja, Karanović Nevena

出版信息

Vojnosanit Pregl. 2014 Nov;71(11):1055-61. doi: 10.2298/vsp120205002s.

Abstract

One of the fundamental rights of every human being is to enjoy "the highest attainable standard of health". Achieving better health requires no only adequate medical knowledge and technologies, laws and social measures in the field of health care, but also sufficient funding for fulfilling people's right to health. However, economic crisis has left every community with limited possibility of investing in health care and forced them to use the available resources more efficiently. This is the reason why health financing policy represents an important and integral part of the health system concerned with how financial resources are generated, allocated and used. Development of new drugs and medical technologies, population aging, increased incidence of chronic diseases as well as the peoples' rising demands from health care providers lead to a constant increase of health system costs worldwide. In these circumstances, countries in transition, like Serbia, face difficult challenges in financing their health systems. Current economic crisis and budget constraints do not allow the Government to simply allocate more public revenues for health and solve the people's expectations by increasing the spending. Instead, Serbia is forced to start reforms to provide a more efficient health system. The reform processes are positioned within the wider context of European integration and public administration reforms. This paper provides a short description of the health care system in Serbia focusing on the healthcare economics and reforms and their influence on financial sustainability.

摘要

每个人的基本权利之一是享有“能达到的最高健康标准”。要实现更良好的健康状况,不仅需要足够的医学知识和技术、医疗保健领域的法律及社会措施,还需要有充足的资金来保障人们的健康权。然而,经济危机使每个社区在医疗保健方面的投资可能性有限,并迫使它们更高效地利用现有资源。这就是为什么卫生筹资政策是卫生系统的重要组成部分,涉及财政资源的筹集、分配和使用方式。新药和医疗技术的发展、人口老龄化、慢性病发病率上升以及民众对医疗服务提供者的需求不断增加,导致全球卫生系统成本持续上升。在这种情况下,像塞尔维亚这样的转型国家在为其卫生系统筹资方面面临艰巨挑战。当前的经济危机和预算限制使政府无法简单地为卫生领域划拨更多公共收入,通过增加支出满足民众期望。相反,塞尔维亚被迫启动改革,以建立一个更高效的卫生系统。这些改革进程处于欧洲一体化和公共行政改革的更广泛背景之下。本文简要介绍了塞尔维亚的医疗保健系统,重点关注医疗保健经济学、改革及其对财政可持续性的影响。

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