Department of Internal Medicine, Medical Branch, University of Texas, 301 University Blvd, Galveston, TX, 77555, USA.
Institute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada.
J Gen Intern Med. 2022 Mar;37(4):949-953. doi: 10.1007/s11606-021-07234-1. Epub 2022 Jan 21.
A majority of Americans favor universal health insurance, but there is uncertainty over how best to achieve this goal. Whatever the insurance design that is implemented, additional details that must be considered include breadth of services covered, restrictions and limits on volumes of services, cost-sharing for individuals, and pricing. In the hopes that research can inform this ongoing debate, we review evidence supporting different models for achieving universal coverage in the US and identify areas where additional research and stakeholder input is needed. Key areas in need of further research include how care should be organized, how costs can be reduced, and what healthcare services universal insurance should cover.
大多数美国人支持全民医疗保险，但如何实现这一目标还存在不确定性。无论实施哪种保险设计，都必须考虑其他一些细节，包括所涵盖服务的范围、对服务数量的限制和限制、个人的费用分担以及定价。希望研究能够为这场持续的辩论提供信息，我们回顾了支持在美国实现全民覆盖的不同模式的证据，并确定了需要进一步研究和利益相关者投入的领域。需要进一步研究的关键领域包括应该如何组织护理、如何降低成本以及全民医疗保险应涵盖哪些医疗服务。
