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[将士兵的医疗服务外包给民间健康基金]

[OUTSOURCING OF MEDICAL SERVICES FOR SOLDIERS TO CIVILIAN HEALTH FUNDS].

作者信息

Ash Nachman

机构信息

Maccabi Healthcare Services.

Ariel University.

出版信息

Harefuah. 2018 Oct;157(10):660-663.

PMID:30343546
Abstract

The Israeli Medical Corps provides a great deal of medical services by its own medical personnel and purchases some services from various civilian suppliers, including public hospitals. Although the IDF has bought hospital services since it's early days, few attempts have been made to purchase primary and secondary medical services for soldiers in rear units. This article presents an analysis of the outsourcing project ("Aviv" project) of medical services for rear units which was operating between the years 2010 - 2014. In this project soldiers chose to receive services from one of the four healthcare funds in Israel. The project is analyzed from two perspectives, military and civilian, based on the personal experience of the author who led the implementation of the project while he was the Surgeon General of the Medical Corps and gained additional experience at a later stage during his positions in Maccabi Healthcare Services. Despite the different policies of the medical corps and the healthcare funds that are described in the article, it is advisable to utilize the civilian infrastructure in Israel to provide soldiers with better medical services. Future projects should consider the lessons learned from the Aviv project and adjust the demands of the Medical Corps from the healthcare funds, so that soldiers will receive similar services to their civilian counterparts. Among other recommendations, the author advises that soldiers will pay copayment and will receive broad services, including the basic basket and complimentary health services.

摘要

以色列医疗队由其自身医务人员提供大量医疗服务,并从包括公立医院在内的各类民用供应商处购买一些服务。尽管以色列国防军自成立之初就购买医院服务,但很少有人尝试为后方部队的士兵购买初级和二级医疗服务。本文对2010年至2014年期间运作的后方部队医疗服务外包项目(“阿维夫”项目)进行了分析。在该项目中,士兵们选择从以色列的四个医疗保健基金之一接受服务。本文基于作者的个人经历,从军事和民用两个角度对该项目进行分析。作者在担任医疗队军医总监期间领导了该项目的实施,并在后来担任马卡比医疗服务公司职务时获得了更多经验。尽管本文描述了医疗队和医疗保健基金的不同政策,但利用以色列的民用基础设施为士兵提供更好的医疗服务是可取的。未来的项目应考虑从阿维夫项目中吸取的经验教训,并调整医疗队对医疗保健基金的要求,以便士兵能获得与平民类似的服务。除其他建议外,作者建议士兵支付自付费用,并获得广泛的服务,包括基本套餐和免费健康服务。

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