Henke K D, Ade C, Murray M A
Department of Economics, University of Hannover, Germany.
J Clin Anesth. 1994 May-Jun;6(3):252-62. doi: 10.1016/0952-8180(94)90069-8.
The German health care system has often been viewed by American policy makers as a model for a system that controls costs and provides coverage to virtually all of its citizens, while maintaining a private market for the delivery of most services. Nevertheless, German policy makers are as concerned as their American counterparts about the increasing share of national income devoted to health care. To control rising health care costs, the German government, after two decades of cost control interventions, has enacted a major health care reform aimed at reducing structural deficits of the current system and enhancing competition within the system. We review the general structure of the German health care system and analyze its specific problems. We also discuss its accomplishments and present the recently enacted health care reform.
它既能控制成本，又能为几乎所有公民提供医保覆盖，同时在多数服务的提供方面维持一个私人市场。然而，德国政策制定者和美国同行一样，对国民收入中用于医疗保健的份额不断增加感到担忧。为控制不断上涨的医疗保健成本，德国政府在进行了二十年的成本控制干预后，颁布了一项重大医疗保健改革，旨在减少现行系统的结构性赤字并增强系统内的竞争。我们审视了德国医疗保健系统的总体结构并分析了其具体问题。我们还讨论了其成就并介绍了最近颁布的医疗保健改革。
