Ham C, Brommels M
Health Services Management Centre, University of Birmingham, England.
Health Aff (Millwood). 1994 Winter;13(5):106-19. doi: 10.1377/hlthaff.13.5.106.
The experiences of three European countries that are actively engaged in reforming their health care systems--the Netherlands, Sweden, and the United Kingdom--point to a degree of convergence in the types of reforms being pursued. European experiences also offer a number of lessons for the United States. These include the importance of government intervention in the health care market to ensure universal coverage, the key role of primary care in ensuring access to basic health services and in containing costs, and the need to create a strong purchasing or insurance function to hold providers accountable on behalf of patients. The pace and scope of reform are affected significantly by the political process in each country.
积极参与医疗体系改革的三个欧洲国家——荷兰、瑞典和英国——的经验表明，它们所推行的改革类型在一定程度上趋于一致。欧洲的经验也为美国提供了许多借鉴。这些经验包括政府干预医疗市场以确保全民覆盖的重要性、初级保健在确保获得基本医疗服务和控制成本方面的关键作用，以及建立强大的采购或保险职能以促使医疗服务提供者为患者负责的必要性。改革的速度和范围受到每个国家政治进程的显著影响。
