Saltman Richard B
Department of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Rd NE, Atlanta, GA, 30338, USA.
Isr J Health Policy Res. 2019 Jan 9;8(1):8. doi: 10.1186/s13584-018-0284-2.
The ongoing information revolution has re-configured the policymaking arena for tax-funded health systems in Europe. A combination of constrained public revenues with rapid technological and clinical change has created a particularly demanding set of operational challenges. Tax-funded health systems face three ongoing struggles: 1) finding badly needed new public revenues despite inadequate GDP growth 2) channeling additional funds into new high-quality provider capacity 3) re-configuring the stasis-tied organizational structure and operations of existing public providers. This commentary reviews key elements of this new information-revolution-driven context, followed by a consideration of seven specific policy challenges that it creates and/or worsens for tax-funded European systems going forward.
当前的信息革命重新塑造了欧洲税收资助医疗体系的决策领域。公共收入受限，加上技术和临床的快速变革，带来了一系列极具挑战性的运营难题。税收资助的医疗体系面临着三个持续的困境：1）尽管国内生产总值增长不足，但仍要找到急需的新公共收入；2）将额外资金投入到新的高质量医疗服务提供能力建设中；3）重新调整现有公共医疗服务机构停滞不前的组织结构和运营模式。本评论回顾了这一由信息革命驱动的新背景的关键要素，随后探讨了它给未来欧洲税收资助医疗体系带来和/或加剧的七个具体政策挑战。
