Scarpaci J L
Soc Sci Med. 1985;21(4):415-31. doi: 10.1016/0277-9536(85)90222-9.
The current Chilean government adopted a neoclassical model of development and subsequently introduced various incentives for the privatization of medical care. This paper analyzes health care financing in Chile during the last decade and evaluates government efforts to minimize state-financed medical care. In so doing, this paper provides a framework for analyzing private vs public medical care delivery systems in developing countries. For this reason, the first section discusses the major attributes and issues of public and private delivery systems followed by a case study examining the origins, effectiveness and impact of the restructured health system in Chile.
当前的智利政府采用了新古典主义发展模式,随后出台了各种鼓励医疗私有化的措施。本文分析了智利过去十年的医疗融资情况,并评估了政府为尽量减少国家资助医疗所做的努力。在此过程中,本文提供了一个分析发展中国家私立与公立医疗服务体系的框架。因此,第一节讨论了公立和私立服务体系的主要特点和问题,随后是一个案例研究,考察了智利重组后的医疗体系的起源、成效和影响。