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[一个卫生系统。分析与建议]

[A health system. Analysis and proposals].

作者信息

Lobo L C

出版信息

Educ Med Salud. 1986;20(2):222-34.

PMID:3743499
Abstract

The author examines the health system of Brazil and points out the aspects that need to be changed for attainment of the World Health Organization's goal of health for all by the year 2000. To solve these problems the author proposes, i.a., full integration of the resources and coordination of the activities of the Ministry of Health and the National Social Security Institute of Medical Care with a view to active preventive coverage for educating the population, controlling the vectors of disease, improving the environment, vaccinating, monitoring expectant mothers and infant growth, etc. In addition, he advocates determining the proportion of the contribution to social security to be set aside for health purposes at a specific percentage and removing the cap on that part of the contribution so that the costs of medical care will be more equitably distributed.

摘要

作者审视了巴西的卫生系统,并指出为实现世界卫生组织在2000年实现全民健康的目标而需要改变的方面。为解决这些问题,作者提出,除其他外,要全面整合资源,并协调卫生部和国家医疗社会保障机构的活动,以便积极开展预防性工作,包括对民众进行健康教育、控制疾病传播媒介、改善环境、接种疫苗、监测孕妇和婴儿生长情况等。此外,他主张确定社会保障缴款中专门用于卫生目的的部分所占的比例,并取消该部分缴款的上限,以便更公平地分配医疗费用。

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