Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, United States.
Metrics for Management, Baltimore, MD, United States.
Front Public Health. 2021 Mar 15;9:636750. doi: 10.3389/fpubh.2021.636750. eCollection 2021.
Universal Health Coverage (UHC) exists in all of the countries of Europe, despite variation on the ownership structure of health delivery systems. As countries around the world seek to advance UHC and manage the private sector within their health systems, the European experiences can offer useful insights. We found four different models for the provision of healthcare, with the private sector predominant in some countries, and of minimal importance in others. The European experiences indicate that UHC can be effectively provided with, or without, large-scale private sector provision in hospital, specialty, and primary care services, and that moreover it can be provided with high levels of patient satisfaction. These findings offer regulatory models for countries in other regions to review as they advance UHC.
在欧洲，所有国家都实现了全民健康覆盖，尽管卫生提供系统的所有权结构存在差异。随着世界各国寻求推进全民健康覆盖并管理其卫生系统中的私营部门，欧洲的经验可以提供有益的见解。我们发现了四种不同的医疗保健提供模式，在一些国家，私营部门占主导地位，而在其他国家则不重要。欧洲的经验表明，全民健康覆盖可以在有或没有大规模私营部门提供医院、专科和初级保健服务的情况下有效提供，而且可以提供高水平的患者满意度。这些发现为其他地区的国家提供了监管模式，供其在推进全民健康覆盖时参考。
