退伍军人医疗保健系统的未来。

The future of the veterans' health care system.

作者信息

Lipsky M, McCray L, Prottas J, Sapolsky H

出版信息

J Health Polit Policy Law. 1976 Fall;1(3):285-94. doi: 10.1215/03616878-1-3-285.

Abstract

The probable adoption of a national health insurance system in the near future makes the Veterans Administration's health care program vulnerable to change. The last major turning point in the program occurred at the end of World War II when a decision was made to link VA hospitals to medical schools. This linkage in large measure has been responsible for the program's focus on acute care. The VA professional staff prefers an even greater interaction of the program with medical education. Others suggest its termination. The authors propose instead that the VA become a model system for the care of the chronically ill, the alcoholic, and the aged whose needs tend to be neglected by the overall health system.

摘要

在不久的将来可能采用国家医疗保险制度，这使得退伍军人管理局的医疗保健计划容易发生变化。该计划的上一个主要转折点发生在第二次世界大战结束时，当时做出了将退伍军人管理局医院与医学院联系起来的决定。这种联系在很大程度上导致了该计划对急性护理的关注。退伍军人管理局的专业人员希望该计划与医学教育有更密切的互动。其他人则建议终止该计划。相反，作者提议退伍军人管理局成为一个照顾慢性病患者、酗酒者和老年人的模范系统，而这些人的需求往往被整个医疗系统忽视。