为所有美国人提供医疗保健融资
1Health Insurance Association of America, Washington, DC 20036-3998.
JAMA
|June 26, 1991
概括
这项研究提出了一种多方面的方法,以实现在美国普遍获得医疗保健. 关键策略包括市场改革,再保险,国家风险池,税收援助和医疗补助扩大全面医疗保险.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
- 公共卫生 公共卫生
背景情况:
- 数百万美国人无法获得医疗保健融资.
- 现有的系统往往无法提供负担得起和可用的保险,特别是对于小型雇主和高风险个人来说.
研究的目的:
- 概述一项全面的战略,以实现在美国普遍获得医疗保健.
- 提出具体的公共和私人倡议,以解决医疗保健融资方面的差距.
主要方法:
- 该研究提出了立法改革和建立新的公共和私人机制的结合.
- 建议包括小雇主市场改革,私人再保险机制,国家风险池,税收援助和医疗补助扩张.
主要成果:
- 实施小雇主市场改革将改善覆盖范围的可用性和可负担性.
- 再保险机制和国家风险池将支持高风险的个人和团体.
- 扩大医疗补助和提供税收援助将扩大低收入人口和小企业的机会.
结论:
- 公共和私人倡议的结合对于实现普遍获得医疗保健是必不可少的.
- 有针对性的改革和计划扩展可以有效地解决目前医疗保健融资的障碍.
- 拟议的战略旨在确保所有美国人能够获得必要的医疗保健服务.
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