加拿大和荷兰:在支持全民健康覆盖的团结的演变中,修辞与现实对比
Gregory P Marchildon1, Roland Bertens
1North American Observatory on Health Systems and Policies.
概括
加拿大和荷兰的目标是普及医疗保健. 历史分析揭示了不同的国家和市场控制现实,尽管他们的卫生系统有共同的团结目标.
科学领域:
- 卫生政策 卫生政策
- 医疗保健系统比较研究
- 健康的社会经济学
背景情况:
- 自20世纪中叶以来,加拿大和荷兰都在寻求普及医疗保健.
- 尽管有共同的目标,但他们的卫生系统在结构和意识形态上存在显著差异.
- 国家控制 (加拿大) 与市场控制 (荷兰) 的言论掩盖了复杂的现实.
研究的目的:
- 从历史上分析声援在加拿大和荷兰医疗保健系统中声明的目标和实际实施之间的差异.
- 为了比较国家和私营部门在实现两国普遍医疗覆盖的角色的演变.
主要方法:
- 对加拿大和荷兰的医疗保健政策和系统发展的历史分析.
- 对意识形态基础与医疗保健提供实际现实的比较研究.
- 检查国家和私人参与者的作用随着时间的推移.
主要成果:
- 加拿大的全民医疗保健虽然是一种公共利益,但面临着制度性,而国家则促进了获得医疗保健的机会.
- 荷兰的制度,在意识形态上有利于有限的国家控制和私人提供,国家影响力越来越大,以确保广泛的获取.
- 这两种制度都显示出最初的言论与不断变化的团结的实际现实之间的分歧.
结论:
- 历史轨迹显示,尽管最初的哲学不同,但国家在确保全民获得医疗保健方面的作用趋同.
- 了解这些历史上的差异对于未来两国卫生政策的制定至关重要.
- 医疗保健中的团结是通过各种各样的,不断变化的机制实现的,这些机制取决于国家背景.
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