ASHA Suppl. 1993 Mar;35(3 Suppl 10):2-10.
After an extensive review of the literature and discussion of both national and state proposed health plans, the committee arrived at the following conclusions: 1. The issues that prompted development of the 1971 American Speech-Language-Hearing Association's (ASHA) Position Statement on National Health Care have not been resolved or altered. 2. Few significant national health plans or policies are being supported by the Bush Administration other than managed-care plans. 3. A national health policy will be driven by the development of state health policies and plans. 4. Implementation of national or state health plans will affect both professions at all service provision sites, including public schools. 5. Five general models apply to all existing or proposed national and state health policies or plans: single payer (e.g., a Canadian-style plan) minimum basic benefits ("play or pay") expanded Medicare or Medicaid benefits rationed healthcare (e.g., Oregon plan) managed care (e.g., health maintenance organizations) 6. There will be continued efforts to eliminate Medicaid mandates. 7. ASHA needs to advocate for the inclusion of rehabilitative services as basic rather than optional services in all health plans. 8. ASHA must advocate for adequate access to quality care regardless of healthcare or education provider setting.
在对文献进行广泛回顾并讨论了国家和州提出的健康计划后，委员会得出了以下结论：1. 促使美国言语语言听力协会（ASHA）于1971年发布《关于国家医疗保健的立场声明》的问题尚未得到解决或改变。2. 除了管理式医疗计划外，布什政府几乎没有支持其他重大的国家健康计划或政策。3. 国家健康政策将由州健康政策和计划的发展所推动。4. 国家或州健康计划的实施将影响包括公立学校在内的所有服务提供场所的两个专业。5. 五种通用模式适用于所有现有的或提议的国家和州健康政策或计划：单一支付者（例如，加拿大式计划）、最低基本福利（“参与或支付”）、扩大医疗保险或医疗补助福利、配给医疗保健（例如，俄勒冈计划）、管理式医疗（例如，健康维护组织）。6. 将继续努力消除医疗补助授权。7. ASHA需要倡导在所有健康计划中将康复服务作为基本而非可选服务纳入。8. ASHA必须倡导无论医疗保健或教育提供者的环境如何，都能有足够的机会获得高质量的护理。
