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世界级创新,但代价几何?对美国医疗体系的简要审视。

World-Class Innovation, but at What Cost? A Brief Examination of the American Healthcare System.

作者信息

Delfino Spencer, Larson Andrew, Haines Daniel, Grell Ryan

机构信息

Anesthesiology and Perioperative Medicine, University of Louisville School of Medicine, Louisville, USA.

出版信息

Cureus. 2023 Jun 3;15(6):e39922. doi: 10.7759/cureus.39922. eCollection 2023 Jun.

Abstract

The American healthcare system, often counted among the world's best, offers expedient access to a highly subspecialized network of physicians who work at the forefront of developing and utilizing novel, cutting-edge procedures, and medications. Patients typically have access to large numbers of qualified physicians in every metropolitan area and thus are afforded the luxury of individual choice in hospital, physician, and experience. Unfortunately, the costs of maintaining such a system are quite profound, and the higher investments do not pay dividends in health outcomes. Here, we elaborate on the greatest achievement and worst flaw in the American healthcare system.

摘要

美国的医疗体系常被视为世界上最优秀的体系之一,能让患者便捷地接触到高度专业化的医生网络,这些医生处于开发和应用新颖前沿的诊疗程序及药物的前沿。在每个大都市区,患者通常都能接触到大量合格的医生,因此在医院、医生及就医体验方面享有自主选择的优势。不幸的是,维持这样一个体系的成本相当高昂,而更高的投入并未在健康结果上产生相应回报。在此,我们详细阐述美国医疗体系的最大成就和最严重缺陷。

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