医疗模式--筹资和效果:波兰和意大利模式比较研究

B. Krzeczewski, Cesare Hassan
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摘要

文章的目的。本研究对波兰和意大利的医疗体系进行了比较分析。其目的是通过对不同医疗体系进行经济比较分析,以及对波兰和意大利的医疗体系进行直接比较,来充实相关文献。此外,本研究的另一个目的是找出每个被分析卫生系统的一些薄弱环节,并指出一些好的做法。本研究的研究问题如下:可以实施哪些改革来提高每个被分析医疗系统的效率?研究方法。本研究以卫生系统理论为背景。进行了重要的文献综述。在研究中使用了用于资助医疗系统的 GDP 和人均 GDP 百分比、医疗支出组成部分、预期寿命数据或欧洲健康消费者指数等指标进行比较分析。研究结果。近几十年来,波兰和意大利的医疗体系发生了完全不同的变化。波兰的医疗保健主要以医疗保险费为基础,而意大利的医疗保健主要以税收为基础。在两种制度的相似之处中,可以提到的是地方当局被赋予了很高的责任。比较分析表明,意大利医疗系统的状况似乎比波兰要好得多。不过,在分析的两个体系中,一些旨在提高医疗体系效率的解决方案可以从一个体系转移到另一个体系。
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Health Models – Financing and Effects: a Comparative Study of the Models in Poland and Italy
The purpose of the article. The study brings a comparative analysis between health systems in Poland and Italy. It is aimed at fulfilling the subject literature using economic comparative analyses between different health systems as well as straight comparisons between Polish and Italian health systems. Moreover, another aim of the study is to find out some weak points and to point out some good practices of each of the analyzed health systems. The research question for the purpose of this study is as follows: what changes can be implemented to improve the efficiency of each of the analyzed health systems? Methodology. The study is carried out on the background of health systems' theory. The critical literature review is conducted. A comparative analysis using such indicators as percentage of GDP and GDP per capita spent on financing health systems, healthcare spending components, life-expectancy data or Euro Health Consumer Index indicators are applied and analysed in the study. Results of the research. Health systems in Poland and Italy in the latest decades were transformed in a completely different way. Healthcare in Poland is based mainly on health insurance premiums whereas in Italy financing of healthcare is based mainly on taxes. Among similarities between the systems a high level of responsibility designated to local authorities may be mentioned. The comparative analysis indicates that the situation of the Italian health system seems to be much better as compared to its Polish counterpart. Though, some solutions, aimed at improving health system efficiency, can be transferred from one system to another in case of both analyzed systems.
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