Elola Somoza J
Ministerio de Sanidad y Consumo/Johns Hopkins University, Baltimore, MD 21205, USA.
Gac Sanit. 1995 Mar-Apr;9(47):126-32. doi: 10.1016/s0213-9111(95)71226-2.
The definition of a "benefit package" of services covered by the National Health System of Spain--NHSS--raises technical and political problems. This article examines six relevant issues related with the implementation of this strategy: the instrument to define the services covered by the public system; health care expenditures; access to the services; quality; and the decision making-process. The definition of a comprehensive package of--broadly defined--services covered by the NHSS seems to be the most appropriate strategy, instead of a very detailed "catalog" of medical practices.
西班牙国家卫生系统（NHSS）所涵盖服务的“福利套餐”定义引发了技术和政治问题。本文探讨了与该战略实施相关的六个问题：界定公共系统所涵盖服务的工具；医疗保健支出；服务的可及性；质量；以及决策过程。NHSS所涵盖的一套广泛定义的综合服务似乎是最合适的战略，而不是一份非常详细的医疗实践“目录”。
