| 张卫军,许家杰.中国有可能建立更完善的卫生保健实施系统——中西医结合实施系统[J].,2011,31(1):107-110 |
| 中国有可能建立更完善的卫生保健实施系统——中西医结合实施系统 |
| China Is Poised to Build a Better Healthcare Delivery System Using the Integrative Health Paradigm |
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| DOI： |
| 中文关键词: 医疗改革 医疗费用 慢性病管理 初级卫生保健 结合医学 |
| 英文关键词:health care reform healthcare expenditure chronic disease management primary care integrative medicine |
| 基金项目: |
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| 中文摘要: |
| 中美两国的医疗改革均以扩大医药保障体系,达到更广泛的覆盖率以及降低医药服务的成本和提高医疗服务的质量和效率为目标。尽管国情不同,但两国医疗改革的具体措施可以相互借鉴。本文从当前美国医疗系统的两大弊端——失败的慢性病系统管理和效率低下的初级卫生保健系统入手,讨论美国医疗改革中采取的解决方案以及结合医学在医疗改革中所能起到的作用;根据我们对双方医疗系统和结合医学的了解,结合中国目前医疗改革中中医参与的相关措施,认为如果这些措施能确切实行,有效借鉴部分美国医疗改革中采取的措施,加上中国中西医结合的固有特色,中国的医疗系统可能成为更完善的医疗实施系统。 |
| 英文摘要: |
| China and the United States share similar goals regarding their health care reform:expanding coverage,bending the curve of healthcare expenditure,and ensuring quality improvement and effectiveness of healthcare. Though many differences in the two health care systems exist,there are still many innovative strategies both countries can learn from each other. This paper first discusses two major problems in the America’s health care system:an increasing aging population coupled with ineffective chronic disease management; and a failing primary care system. Next it discusses the role of integrative medicine in the United States health care reform. We also review some key strategies in China’s health care reform,which we believe if these policies are implemented fully and effectively,China is poised to build a better healthcare delivery system using the integrative health paradigm. |
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