美国的退伍军人医疗系统(The Veterans Affairs Health Care System)是由政府直接举办、通过税收对其拨款,医疗机构设施国家所有,人员为政府雇员,由退伍军人事务部下属的退伍军人医疗事务局管理的医疗系统。上世纪80年代和90年代...美国的退伍军人医疗系统(The Veterans Affairs Health Care System)是由政府直接举办、通过税收对其拨款,医疗机构设施国家所有,人员为政府雇员,由退伍军人事务部下属的退伍军人医疗事务局管理的医疗系统。上世纪80年代和90年代初,在降低联邦政府支出、减少财政赤宇的宏观政策下,特别是老龄化等原因导致医疗卫生支出不断上升,该系统财务压力日渐加大,要求私有化退伍军人医疗系统的呼声不断。展开更多
Health policies have played significant roles in attaining good achievements in population health improvement. This paper chronologically reviews and analyzes health-rehted parliamentary actions and law enactments in ...Health policies have played significant roles in attaining good achievements in population health improvement. This paper chronologically reviews and analyzes health-rehted parliamentary actions and law enactments in Canada. It indicates that the salient feature of the Canadian health system is that it is pubhcly financed with a single-payer, but privately run. The Canadian health system is based upon five founding principles: care must be universal (covering everyone), portable ( among all provinces), comprehensive ( covering all medically necessary services ), accessible (without barriers to access hke user fees ), and pubhdy administered( by the government). This paper pays special attention to what and how China can learn from Canada and what should be avoided against failures of Canadian health system, and how it might provide a new health policy base for China's current health reform.展开更多
文摘美国的退伍军人医疗系统(The Veterans Affairs Health Care System)是由政府直接举办、通过税收对其拨款,医疗机构设施国家所有,人员为政府雇员,由退伍军人事务部下属的退伍军人医疗事务局管理的医疗系统。上世纪80年代和90年代初,在降低联邦政府支出、减少财政赤宇的宏观政策下,特别是老龄化等原因导致医疗卫生支出不断上升,该系统财务压力日渐加大,要求私有化退伍军人医疗系统的呼声不断。
文摘Health policies have played significant roles in attaining good achievements in population health improvement. This paper chronologically reviews and analyzes health-rehted parliamentary actions and law enactments in Canada. It indicates that the salient feature of the Canadian health system is that it is pubhcly financed with a single-payer, but privately run. The Canadian health system is based upon five founding principles: care must be universal (covering everyone), portable ( among all provinces), comprehensive ( covering all medically necessary services ), accessible (without barriers to access hke user fees ), and pubhdy administered( by the government). This paper pays special attention to what and how China can learn from Canada and what should be avoided against failures of Canadian health system, and how it might provide a new health policy base for China's current health reform.