《季刊》2019年9月号。

A. Cohen
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引用次数: 0

摘要

•劳伦斯·戈斯廷对世界卫生组织促进难民和移民健康的全球行动计划的评估揭示了各国之间的严重不足和不平等。他呼吁成员国在更加平等和公正的基础上分担提供所需服务的负担。•医疗保险和医疗补助服务中心(CMS)的新“初级保健倡议”的既定目标是将初级保健服务从按服务收费的企业转变为以价值为基础的支付。在嘉宾意见中,k·约翰·麦康奈尔评价了该计划的两部分设计——初级医疗优先和直接合同——并对其催化广泛改革的能力提出了质疑。•除了关注初级保健,CMS还试图通过在医院支付政策中促进患者安全来改变医院护理。然而,尽管政府努力惩罚那些安全表现不佳的医院,Gail Wilensky注意到,患者安全问题继续困扰着美国的医院,她在思考,得分低的医院是否得到了改善其表现所需的帮助。•葆拉·兰茨(Paula Lantz)研究了最近大量限制堕胎的州法律,并敦促政策制定者记录这些法律的影响,她认为,对这些政策造成的死亡和发病率做出公正、有效的估计,符合社会的最大利益。•哈罗德·波拉克(Harold Pollack)尖锐地描述了怀孕和养育孩子的女性与阿片类药物成瘾作斗争的困境,并告诫人们不要重复25年前标志着可卡因流行的有害、污名化的媒体报道。他认为
本文章由计算机程序翻译,如有差异,请以英文原文为准。
In the September 2019 Issue of the Quarterly.
• Lawrence Gostin’s assessment of the World Health Organization’s Global Action Plan to promote the health of refugees and migrants reveals serious inadequacies and inequities among nations. He calls for member states to share the burden of providing needed services on a more equal and fair basis. • A stated goal of the new “Primary Cares Initiative” of the Centers for Medicare and Medicaid Services (CMS) is the transformation of primary care delivery from a fee-for-service driven enterprise to one involving value-based payment. In a guest opinion, K. John McConnell appraises the initiative’s two-part design—Primary Care First and Direct Contracting—and raises questions regarding its ability to catalyze wide reform. • In addition to focusing on primary care, CMS also has tried to transform hospital care by promoting patient safety in its hospital payment policies. Yet, despite efforts to penalize hospitals for poor safety performance, Gail Wilensky notes that patient safety issues continue to plague American hospitals, and she ponders whether low-scoring hospitals are receiving the assistance they need to improve their performance. • Paula Lantz examines the recent spate of state laws restricting abortion and urges policymakers to document the impact of such laws, arguing that it is in society’s best interests to produce nonbiased, valid estimates of the death and morbidity toll from these policies. • Harold Pollack poignantly describes the plight of pregnant and parenting women struggling with opioid addiction, and cautions against repeating the harmful, stigmatizing media coverage that marked the crack epidemic 25 years ago. He argues that
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