医疗保健和保险计划与健康结果:全球比较分析

Jessie Smith Nibley
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引用次数: 0

摘要

当今各国——尤其是美国——面临的最大和最紧迫的问题之一是医疗保健。随着人口老龄化和医生、器官和药物等资源的严格限制,每个国家都必须努力以公平有效的方式分配可用的资源,而不是打破银行,最好是不出卖其人口的健康。各国试图建立可行的卫生保健系统,导致全球各地的监管和保险计划差异很大,因为各国根据国家价值观、制度和利益制定政策。各国之间不同的健康结果表明,并非所有的卫生保健提供和保险机制都是平等的。一些国家的保险和医疗服务几乎完全依赖私营部门,而另一些国家则将医疗和保险完全置于政府控制之下,结果大相径庭。本文考察了24个国家的卫生系统,根据其医疗保险和卫生保健提供制度的共同属性对其进行了分组,并对这些系统所取得的健康结果进行了定量比较,以便回答以下问题:哪个卫生保健提供和保险制度最有效?
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health Care and Insurance Schemes and Health Outcomes: A Global Comparative Analysis
One of the largest and most urgent problems facing countries today - especially the United States - is health care. With an aging population and seemingly hard limits on resources such as doctors, organs, and medicine, each nation must attempt to distribute the available resources in a fair and efficient way without breaking the bank and, ideally, without selling out the health of its population. Nations’ attempts at creating workable health care systems result in regulatory and insurance schemes that vary widely across the globe, as countries form policies based on national values, institutions, and interests. Differing health outcomes among nations suggest that all health care delivery and insurance mechanisms are not equal. Some nations rely almost exclusively on the private sector for insurance and health care services, while others place health care and insurance squarely under government control, with wildly divergent results. This paper looks at the health systems in twenty-four countries, groups them according to common attributes in their health insurance and health care delivery regimes, and quantitatively compares the health outcomes achieved by those systems in order to answer the question: which health care delivery and insurance systems work best?
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