Health care system reforms in western European countries: The relevance of health care organization

被引:14
作者
Elola, J
机构
[1] 28023 Madrid
来源
INTERNATIONAL JOURNAL OF HEALTH SERVICES | 1996年 / 26卷 / 02期
关键词
D O I
10.2190/TC9K-VQBR-NR64-AGVQ
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The problems within the health care systems of western European countries, and their current attempts at reform, can be analyzed by comparing those countries having national health service (NHS) systems with those having social security systems. There are important differences in the structures, processes, and outcomes of these two types of health care systems, and thus in the problems they face. Greater cost control, equity, and, possibly, efficiency in improving the population's health are the advantages of NHS systems; however, public satisfaction is lower than in social security systems. Attempts to overcome this trade-off between the outcomes of the two types of health care systems are the main goal of the reforms. To achieve this goal, there has been a trend toward convergence of NHS and social security systems. For the NHS systems of Latin-rim countries, however, which have received less political commitment and public support than those elsewhere, this means a return to the former social security systems-a trend that may reintroduce the problems associated with these types of systems but without any evidence that public satisfaction will increase.
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页码:239 / 251
页数:13
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共 56 条
[1]   WHO IS THE ODD MAN OUT - THE EXPERIENCE OF WESTERN-EUROPE IN CONTAINING THE COSTS OF HEALTH-CARE [J].
ABELSMITH, B .
MILBANK MEMORIAL FUND QUARTERLY-HEALTH AND SOCIETY, 1985, 63 (01) :1-17
[2]   COST-CONTAINMENT AND HEALTH-CARE REFORM - A STUDY OF THE EUROPEAN UNION [J].
ABELSMITH, B ;
MOSSIALOS, E .
HEALTH POLICY, 1994, 28 (02) :89-132
[3]   COST CONTAINMENT AND NEW PRIORITIES IN THE EUROPEAN COMMUNITY [J].
ABELSMITH, B .
MILBANK QUARTERLY, 1992, 70 (03) :393-416
[4]  
ABELSMITH B, 1984, EXPERIENCE DOUZE PAY
[5]  
[Anonymous], 1991, A theory of human needs
[6]   MANAGING A PLURALIST HEALTH SYSTEM - THE CASE OF HEALTH-CARE REFORM IN FRANCE [J].
BACH, S .
INTERNATIONAL JOURNAL OF HEALTH SERVICES, 1994, 24 (04) :593-606
[7]  
Baldwin Peter., 1990, POLITICS SOCIAL SOLI
[8]   LESSONS FROM THE 8 COUNTRIES [J].
BATTISTA, RN ;
BANTA, HD ;
JONNSON, E ;
HODGE, M ;
GELBAND, H .
HEALTH POLICY, 1994, 30 (1-3) :397-421
[9]   SPAIN CITIZENS ASSESS THEIR HEALTH-CARE SYSTEM [J].
BLENDON, RJ ;
DONELAN, K ;
JOVELL, AJ ;
PELLISE, L ;
LOMBARDIA, EC .
HEALTH AFFAIRS, 1991, 10 (03) :216-228
[10]   SATISFACTION WITH HEALTH SYSTEMS IN 10 NATIONS [J].
BLENDON, RJ ;
LEITMAN, R ;
MORRISON, I ;
DONELAN, K .
HEALTH AFFAIRS, 1990, 9 (02) :185-192