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The Journal of American health policy最新文献

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Policymakers take new AIDS education tack. 政策制定者采取新的艾滋病教育策略。
C Kent
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引用次数: 0
From gridlock to the goal line: a best case scenario for health reform. 从僵局到球门线:医疗改革的最佳方案。
C Havighurst
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引用次数: 0
Clinton charts health reform course. 克林顿规划医疗改革路线。
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引用次数: 0
Changing health needs of the elderly demand new policies. 老年人不断变化的健康需求需要新的政策。
G Burke

As the U.S. population ages, the use of costly medical technology, especially in the last days of life, has been cited as a major factor contributing to our spiraling health care costs. Yet a growing body of evidence indicates that fewer elderly are disabled and that many survive--even thrive--after treatment of a serious illness or condition. The current debate over Medicare funding cutbacks needs to reflect the reality that high-technology care for the elderly is not inappropriate or wasteful in and of itself. In addition, policymakers should take into account the decreasing numbers of elderly people with disabilities by redirecting long term care resources toward quality community-based care, which can contribute to more timely, effective, and affordable treatment of major diseases.

随着美国人口的老龄化,使用昂贵的医疗技术,特别是在生命的最后几天,被认为是导致我们的医疗成本螺旋式上升的主要因素。然而,越来越多的证据表明,残疾的老年人越来越少,许多人在接受严重疾病或病症治疗后幸存下来,甚至茁壮成长。当前关于医疗保险资金削减的争论需要反映这样一个现实,即对老年人的高科技护理本身并不是不适当或浪费的。此外,决策者应考虑到残疾老年人数量的减少,将长期护理资源转向优质的社区护理,这有助于对重大疾病进行更及时、有效和负担得起的治疗。
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引用次数: 0
Taking the patient's view of health reform. 从病人的角度看待医疗改革。
M A Rothstein

To many, health reform seems to consist entirely of enormous changes in how the nation's medical bills will be paid. In reality, sweeping social changes will also accompany reform, including new ways of obtaining a patient's medical history and an end to traditional barriers to health care access. Changes must be made in the nonfinancial elements of the U.S. health system for reform to make a positive difference in patients' lives.

对许多人来说,医疗改革似乎完全由如何支付国家医疗账单的巨大变化组成。实际上,全面的社会变革也将伴随着改革,包括获取患者病史的新方法,以及消除传统的医疗保健障碍。改革必须在美国医疗体系的非金融要素上做出改变,以对患者的生活产生积极的影响。
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引用次数: 0
The opportunity to do better: lessons old and new from Germany's health system. 做得更好的机会:来自德国医疗体系的新旧经验。
R A Knox

As the U.S. undertakes national health reform, it would do well to consider both the old and new lessons offered by Germany's century-old universal health system. "Old" principles include an explicit national policy, shared financial responsibility, universality of coverage, and structured financing. New lessons, which are more concerned with operational strategies, include societal affordability, budgets, supply side restrictions, and volume controls.

在美国进行国家医疗改革的时候,最好考虑一下德国已有百年历史的全民医疗体系提供的新旧经验。“旧”原则包括明确的国家政策、分担财政责任、覆盖面的普遍性和结构性融资。新的经验教训更关注运营策略,包括社会负担能力、预算、供应方面的限制和数量控制。
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引用次数: 0
Comprehensive mental health benefits: a sound investment. 全面的心理健康益处:一项合理的投资。
R L Trachtenberg

Mental health and substance abuse disorders are as prevalent among Americans as disorders affecting physical health; therefore, no comprehensive health reform program can be enacted that does not include coverage for mental health services. While some fear the cost consequences, benefit costs of these services have actually grown more slowly than for those of general medicine. Several changes in how mental health services are delivered and financed can ensure access under a reformed health system.

精神健康和药物滥用失调在美国人中与影响身体健康的失调一样普遍;因此,任何一项全面的医疗改革计划都不可能不包括对精神卫生服务的覆盖。虽然有些人担心成本后果,但这些服务的福利成本实际上比普通医学的增长要慢得多。在精神卫生服务的提供和资助方式上的一些变化可以确保在改革后的卫生系统下获得这些服务。
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引用次数: 0
Setting the record straight--I. 澄清事实——我。
R P Casey
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引用次数: 0
Small businesses' changing views on health reform. 小企业对医疗改革看法的变化。
G A Jensen, R J Morlock, J R Gabel

Our national sample of 750 randomly chosen firms with fewer than 50 employees reveals surprising findings about the traditional views of small business on health care reform. A substantial segment of the small business community is sympathetic to health care reform, including such controversial measures as mandating that all employers contribute to the coverage of their workers, limits on health care spending, and altering the tax treatment of employer contributions for health insurance. Without premium savings, fewer than half of small businesses support the concept of health insurance purchasing cooperatives. With premium savings, a majority support it.

我们随机选取了750家员工少于50人的公司作为全国样本,结果显示,小企业对医疗改革的传统看法令人惊讶。相当一部分小企业支持医疗改革,包括一些有争议的措施,如强制要求所有雇主为其工人的保险承担费用,限制医疗保健支出,以及改变雇主缴纳医疗保险的税收待遇。没有保费储蓄,只有不到一半的小企业支持医疗保险购买合作社的概念。由于保费节省,大多数人支持它。
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引用次数: 0
Setting the record straight--II. 澄清事实——2。
P J Maraldo
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引用次数: 0
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The Journal of American health policy
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