Kronfol N M, Bashshur R
J Public Health Policy. 1989 Autumn;10(3):377-96.
Lebanon's experience in the development of its health care system over the last century is reviewed; inasmuch as experiences can be generalizable, the case of Lebanon reflects the attempts of middle-income countries to balance the public and private sectors' roles in health care. Lebanon's health care system followed a predictable trend that was accelerated and intensified by the civil disturbances during the past decade. Its main feature has been the absence of a coherent and sustained health policy that promotes a stable and long-lasting relationship between the public and the private sectors in health. The role of the State has been most effective during periods of political, social and economic stability, when serious planning efforts could be undertaken and resultant policies be implemented. An effective partnership between the State and the private sector is recommended for the reconstruction of Lebanon's health care system, as well as for other countries with a strong private sector involvement in health care.
回顾了黎巴嫩在上个世纪医疗保健系统发展方面的经历；鉴于经验具有可推广性，黎巴嫩的情况反映了中等收入国家在平衡公共和私营部门在医疗保健中作用方面的尝试。黎巴嫩的医疗保健系统遵循了一种可预测的趋势，过去十年的内乱使其加速并强化。其主要特点是缺乏一项连贯且持续的卫生政策，该政策能促进公共和私营部门在医疗领域建立稳定且持久的关系。在政治、社会和经济稳定时期，国家的作用最为有效，此时可以进行认真的规划努力并实施由此产生的政策。建议国家与私营部门建立有效的伙伴关系，以重建黎巴嫩的医疗保健系统，对于其他私营部门深度参与医疗保健的国家也是如此。
