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[摆脱医生收受红包这一历史顽疾的关键所在]

[The historic master key to get rid of medical doctors' informal payment].

作者信息

Balázs Péter

机构信息

Népegészségtani Intézet, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Nagyvárad tér 4., 1089.

出版信息

Orv Hetil. 2019 Jan;160(2):50-56. doi: 10.1556/650.2019.31238.

DOI:10.1556/650.2019.31238
PMID:30616370
Abstract

There is no nation in the developed world without dysfunctions of its health care system. The cause behind is universal since it goes back to the historic conflict of private and public financing of services. Phenomena on the surface are multi-faceted, in Hungary they are concentrated in the doctors' informal payment the original pattern of which was emerging three centuries ago. While neglecting our series of mismanagement, all our new initiatives will disable any real solution. The world's best health system models in Germany and the United Kingdom function without informal payment. Their substantial models compromise private and public financing. Instead of questionable ideas, Hungary needs to find its own relevant solution based on a new deal with the society but it must have a firm base of scientific evidences. Orv Hetil. 2019; 160(2): 50-56.

摘要

发达国家中没有一个国家的医疗保健系统不存在功能失调的问题。其背后的原因是普遍存在的,因为这可以追溯到服务私人融资和公共融资之间的历史性冲突。表面现象是多方面的,在匈牙利,这些现象集中在医生的非正式收费上,这种收费的原始模式出现在三个世纪前。如果我们忽视一系列管理不善的问题,我们所有的新举措都将无法实现任何真正的解决方案。德国和英国的世界最佳医疗系统模式在没有非正式收费的情况下运行。它们的实质性模式兼顾了私人融资和公共融资。匈牙利需要摒弃有问题的想法,在与社会达成的新协议基础上找到自己切实可行的解决方案,但这必须有坚实的科学证据基础。《匈牙利医学周报》。2019年;160(2): 50 - 56。

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