Keith S N
J Natl Med Assoc. 1987 Aug;79(8):888-91.
Health policy issues in the 1980s have been influenced largely by fewer federal dollars and by the increasing prominence of the private sector. As a result, several indicators of health status, especially among the poor, have deteriorated. The 1986 election and the return of Democratic Party control of the US Congress provides opportunities to seek to restore and increase funding in several areas and to develop new policy initiatives. Recommendations for funding and new health policy initiatives in the areas of AIDS, maternal and child health, substance abuse, health manpower development, long-term care for the elderly, biomedical research, and national health insurance are presented. In addition, the importance of improving the general level of education and employment is stressed, as they have an impact upon health status.
20世纪80年代的卫生政策问题在很大程度上受到联邦资金减少以及私营部门日益突出的影响。结果，一些健康状况指标，尤其是在贫困人口中，出现了恶化。1986年的选举以及民主党重新掌控美国国会为在几个领域寻求恢复和增加资金以及制定新的政策举措提供了机会。本文提出了在艾滋病、母婴健康、药物滥用、卫生人力发展、老年人长期护理、生物医学研究和国家医疗保险等领域的资金和新卫生政策举措建议。此外，还强调了提高总体教育和就业水平的重要性，因为它们会对健康状况产生影响。
