一个旨在提高医疗保健效率的初级保健系统：来自厄瓜多尔的经验教训。

A Primary Care System to Improve Health Care Efficiency: Lessons from Ecuador.

作者信息

Aldulaimi Sommer, Mora Francisco E

机构信息

From the Department of Family and Community Medicine (SA) and Department of Internal Medicine (FEM), University of Arizona and Banner University Medical Center, Tucson, AZ; and the College of Medicine, University of Cuenca, Cuenca, Ecuador (FEM).

出版信息

J Am Board Fam Med. 2017 May-Jun;30(3):380-383. doi: 10.3122/jabfm.2017.03.160304.

DOI:10.3122/jabfm.2017.03.160304

PMID:28484072

Abstract

Ecuador is a country with few resources to spend on health care. Historically, Ecuador has struggled to find a model for health care that is efficient, effective, and available to all people in the country, even those in underserved and rural communities. In 2000, the Ecuador Ministry of Public Health implemented a new system of health care that used primary care as its platform. Since then, Ecuador has been able to increase its health care efficiency, increasing its ranking from 111 of 211 countries worldwide in 2000, to 20 of 211 countries in 2014. This article briefly reviews the new components of the system implemented in Ecuador and examines the tools used to accomplish this. The discussion also compares and contrasts the Ecuador and US systems, and identifies concepts and policies from Ecuador that could improve the US system.

摘要

厄瓜多尔是一个用于医疗保健的资源稀缺的国家。从历史上看，厄瓜多尔一直在努力寻找一种高效、有效且能惠及该国所有人（包括那些服务不足的农村社区居民）的医疗保健模式。2000年，厄瓜多尔公共卫生部实施了一项以初级保健为平台的新医疗保健系统。从那时起，厄瓜多尔提高了其医疗保健效率，在全球211个国家中的排名从2000年的第111位升至2014年的第20位。本文简要回顾了厄瓜多尔实施的该系统的新组成部分，并探讨了用以实现这一目标的工具。讨论还对厄瓜多尔和美国的系统进行了比较和对比，并找出了厄瓜多尔可改善美国系统的理念和政策。