Health care delivery and the elderly: teaching old patients new tricks.

M B Kapp
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Abstract

The author examines the revolutionary changes currently altering the delivery of health care in America: competition, corporatization, reprivatization, and cost containment. The changes portend a bleak future for elderly citizens, inevitably leading to inequities in access to high quality health care for this uniquely vulnerable group. Focusing on health care financing driven by a DRG system, the author raises ethical, economic nd legal issues which must be addressed by a responsible society. Finally, the author contrasts the traditional legal response to the elderly for protection of their right to equitable access to high quality health care and recommends changes to ensure fuller protection for elderly citizens.

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医疗保健服务与老年人:教老病人新技巧。
作者考察了目前正在改变美国医疗保健服务的革命性变化:竞争、公司化、再私有化和成本控制。这些变化预示着老年公民的暗淡未来,不可避免地导致这一独特的弱势群体在获得高质量医疗保健方面的不平等。作者以DRG系统驱动的医疗融资为重点,提出了一个负责任的社会必须解决的伦理、经济和法律问题。最后,提交人对比了传统法律对保护老年人公平获得高质量医疗保健权利的反应,并建议作出改变,以确保对老年公民提供更充分的保护。
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