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克罗地亚的医疗保健改革:是福是祸?

Health care reform in Croatia: for better or for worse?

作者信息

Chen M S, Mastilica M

机构信息

Center for Health Administration Studies, University of Chicago, Ill., USA.

出版信息

Am J Public Health. 1998 Aug;88(8):1156-60. doi: 10.2105/ajph.88.8.1156.

Abstract

Along with the rest of Central and Eastern Europe, Croatia has begun to dismantle its long-standing socialist health care system and to replace it with a market-based approach. Marketization's advocates maintain that the market will bring efficiency and quality to the Croatian health care system. Nevertheless, data from consumer surveys and official statistics reflect the reform's hidden costs: limited access to care, heightened costs, growing inequality, and the deemphasis of preventive and proactive care in favor of costly therapeutic medicine.

摘要

与中东欧其他国家一样,克罗地亚已开始拆除其长期存在的社会主义医疗体系,并用基于市场的方式取而代之。市场化的倡导者坚称,市场将给克罗地亚医疗体系带来效率和质量。然而,消费者调查数据和官方统计数据反映出了这项改革的隐性成本:医疗服务可及性有限、费用增加、不平等加剧,以及预防性和主动性医疗服务被忽视,转而青睐成本高昂的治疗性药物。

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