Philippon Donald J, Marchildon Gregory P, Ludlow Kristiana, Boyling Claire, Braithwaite Jeffrey
1 School of Public Health, University of Alberta, Edmonton, Alberta, Canada.
2 Dalla Lana School of Public Health and North American Observatory on Health Systems and Policies, University of Toronto, Toronto, Ontario, Canada.
Healthc Manage Forum. 2018 Nov;31(6):239-244. doi: 10.1177/0840470418788378. Epub 2018 Sep 24.
Using three data sets, each providing an overview of health service delivery in high-income countries, this article provides a high-level comparative analysis of health system performance against specified key performance indicators in two jurisdictions: Canada and Australia. Several variations, nuances, and points of comparison between delivery and organization of care are discussed. The article examines three policy and structural differences that may help explain the comparatively superior performance of the Australian system on most indicators, and two key areas of improvement for the Canadian system were illuminated: a stronger central government role and a national pharmaceutical plan. It is hoped that this article will empower health leaders to take action in these areas.
本文使用三个数据集（每个数据集都概述了高收入国家的卫生服务提供情况），对加拿大和澳大利亚这两个司法管辖区的卫生系统在特定关键绩效指标方面的表现进行了高层次的比较分析。文中讨论了护理提供和组织方面的一些差异、细微差别及比较点。本文研究了三个可能有助于解释澳大利亚系统在大多数指标上表现相对更优的政策和结构差异，并阐明了加拿大系统需要改进的两个关键领域：加强中央政府作用和制定国家药品计划。希望本文能促使卫生领域的领导者在这些方面采取行动。
