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私立医疗的诱人神话。

The alluring myth of private medicine.

作者信息

Gordon M, Berger P B

机构信息

Medical Services, Baycrest Centre for Geriatric Care, North York, Ont.

出版信息

CMAJ. 1996 Aug 15;155(4):404-6.

Abstract

Canada's medicare system has provided Canadians with high-quality health care for almost three decades. Now Canadian health care appears to be at risk of losing the single-payer system, which is the premise on which medicare is built. As medicare comes under increasing financial pressure, many are calling for the introduction of private care as a means of bolstering our health care system and maintaining its quality. Although it appears alluring to some politicians, physicians and commentators, privatization could very well lead to the demise of the principles and practices of the Canadian health care system as we know it, with little clear benefit to the public or physicians.

摘要

近三十年来,加拿大的医疗保险制度为加拿大人提供了高质量的医疗保健服务。如今,加拿大的医疗保健似乎面临失去单一支付者体系的风险,而这一体系正是医疗保险建立的前提。随着医疗保险面临越来越大的财政压力,许多人呼吁引入私人医疗服务,以加强我们的医疗保健系统并维持其质量。尽管这对一些政治家、医生和评论家来说颇具吸引力,但私有化很可能导致我们所熟知的加拿大医疗保健系统的原则和做法走向终结,而对公众或医生几乎没有明显益处。

本文引用的文献

6
Reforming the NHS reforms.改革国民医疗服务体系的改革措施。
BMJ. 1994 Mar 26;308(6932):848-9. doi: 10.1136/bmj.308.6932.848.
7
The competition vogue and its outcomes.竞争时尚及其结果。
Lancet. 1993 Mar 27;341(8848):805-12. doi: 10.1016/0140-6736(93)90572-x.
10
Managed care and the morality of the marketplace.管理式医疗与市场道德
N Engl J Med. 1995 Jul 6;333(1):50-2. doi: 10.1056/NEJM199507063330110.

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