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医疗保健系统的融资与利润:并非所有闪光的都是金子。

Healthcare system financing and profits: all that glitters is not gold.

作者信息

Zelený Tomáš, Bencko Vladimír

出版信息

Cent Eur J Public Health. 2015 Mar;23(1):3-7. doi: 10.21101/cejph.a4027.

Abstract

The objective of this paper is an analysis of two main attributes of healthcare systems. First of the main attributes is the trend of ever growing expenditures of healthcare systems all across the world. Second attribute is the efficiency of chosen mixed healthcare systems, where mixed system is one which features involvement of both private and public sector. Countries chosen for analysis are USA as the country with high private sector influence on healthcare, France with its mediocre influence and Japan, where the private companies participate in health care but are very strictly regulated by a zero profit rule, and the Czech Republic, where public sector dominates the health care. The result is that the systems with higher influence of the private sector tend to have lesser occupancy, not significantly better performance and higher expenditures. This raise doubts whether the private sector brings anything of value for the patients within the healthcare system. However, more detailed analysis should be carried out to confirm or refuse this hypothesis.

摘要

本文的目的是分析医疗保健系统的两个主要属性。第一个主要属性是全球医疗保健系统支出不断增长的趋势。第二个属性是所选混合医疗保健系统的效率,其中混合系统的特点是私营部门和公共部门都参与其中。选择进行分析的国家有美国,其私营部门对医疗保健有很大影响;法国,其影响程度一般;日本,私营公司参与医疗保健,但受到零利润规则的严格监管;还有捷克共和国,公共部门在医疗保健中占主导地位。结果是,私营部门影响较大的系统往往占用率较低,绩效没有显著提高,支出却较高。这让人怀疑私营部门在医疗保健系统中是否为患者带来了任何有价值的东西。然而,应该进行更详细的分析来证实或否定这一假设。

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