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评论:英国国民医疗服务体系的近期改革——给美国的启示

Commentary: recent reforms in the British National Health Service--lessons for the United States.

作者信息

Holland W W, Graham C

机构信息

Department of Public Health Medicine, United Medical and Dental Schools, St. Thomas's Hospital, London, England.

出版信息

Am J Public Health. 1994 Feb;84(2):186-9. doi: 10.2105/ajph.84.2.186.

DOI:10.2105/ajph.84.2.186
PMID:8296937
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1614999/
Abstract

President Clinton recently announced his reform plan for health care in the United States. The United Kingdom, along with other countries, has already enacted reforms in an effort to overcome the basic problem of having insufficient funds to provide a health service to meet modern demands. This paper briefly describes the recent health reforms in the United Kingdom and highlights some lessons for the United States, which include the need to choose procedures that should be universally provided. Health reforms that involve some fundamental restructuring need to be evaluated everywhere and agreed to by the staff in advance.

摘要

克林顿总统最近宣布了他对美国医疗保健的改革计划。英国和其他国家一样,已经进行了改革,以努力克服资金不足这一基本问题,从而无法提供满足现代需求的医疗服务。本文简要介绍了英国最近的医疗改革,并强调了一些对美国的教训,其中包括需要选择应普遍提供的医疗程序。涉及一些根本性结构调整的医疗改革需要在各地进行评估,并事先得到工作人员的认可。

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引用本文的文献

1
Health care reform and public health: weighing the proposals.医疗保健改革与公共卫生:权衡各项提议。
Am J Public Health. 1994 Feb;84(2):173-5. doi: 10.2105/ajph.84.2.173.

本文引用的文献

1
How much will health care reform cost?医疗保健改革将花费多少钱?
N Engl J Med. 1993 Jun 17;328(24):1778-9. doi: 10.1056/NEJM199306173282409.
2
Controlling costs through "managed competition".通过“管理式竞争”控制成本。
N Engl J Med. 1993 Sep 16;329(12):885; author reply 886.
3
The marketplace in health care reform.医疗保健改革中的市场
N Engl J Med. 1993 Sep 16;329(12):883; author reply 884-5.
4
Managed competition and the patient-physician relationship.管理式竞争与医患关系。
N Engl J Med. 1993 Sep 16;329(12):879-82. doi: 10.1056/NEJM199309163291213.
5
Reforming our health care system.改革我们的医疗保健系统。
N Engl J Med. 1993 Sep 9;329(11):806; author reply 808. doi: 10.1056/NEJM199309093291113.
6
The United States needs a health system like other countries.
JAMA. 1993 Aug 25;270(8):980-4.