Lessons for Health Care Policy in the United States: Comparing Health Care Systems

C. Aspalter
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Abstract

This paper compares health care systems. It looks beyond normal academic, political, or journalistic rhetoric, by exactly sticking to facts, i.e. empirical data (in particular data provided by the WHO) and comprehensive case study analyses. The paper finds that a number of myths and common believes in health care policy are not supported by emprical evidence. Global health care policy, as well as health care policy in United States, needs to look at statistical data and profound overall assessment studies to change global health care policies. The paper reveals that there is ample room for saving costs, i.e. increase efficiency, of public health care systems in order to save lives. Good health care and more health care can be generated by 'administrative' and 'incentive' reforms (usually involving systemic and structural reforms) of health care systems. Many millions of lives can be saved if we stick to statistical empricial data and case studies, and distance ourselves from harmful ideological blindness in health care politics.
美国卫生保健政策的教训:比较卫生保健制度
本文比较了卫生保健系统。它超越了通常的学术、政治或新闻修辞,完全坚持事实,即经验数据(特别是世卫组织提供的数据)和全面的案例研究分析。本文发现,在医疗保健政策的一些神话和普遍信念是不支持的经验证据。全球卫生保健政策以及美国的卫生保健政策需要着眼于统计数据和深刻的总体评估研究,以改变全球卫生保健政策。这篇论文表明,为了挽救生命,公共卫生保健系统有足够的空间来节省成本,即提高效率。良好的卫生保健和更多的卫生保健可以通过卫生保健系统的“行政”和“激励”改革(通常涉及系统和结构改革)产生。如果我们坚持统计经验数据和案例研究,远离医疗政治中有害的意识形态盲目性,就可以挽救数百万人的生命。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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