The Veterans Health Administration in the context of health insurance reform.
The Veterans Health Administration in the context of health insurance reform.
复制标题
退伍军人健康管理局在医疗保险改革的背景下。
DOI：
10.1097/mlr.0b013e318184aa75
复制
发表时间：
2008
期刊：
影响因子：
3
通讯作者：
A. Sales
中科院分区：
文献类型：
--
作者：
A. Sales
《解说词》从一位在退伍军人健康管理局(VHA)担任了十多年卫生服务研究员、目前在加拿大生活和工作的人的角度，描述了美国最大的公共综合医疗保健系统--退伍军人健康管理局(VHA)。它追溯了VHA的历史演变，并概述了它所作的重要贡献，这些贡献与当前关于医疗保险和医疗制度改革的讨论有关。VHA反映了一种与主导美国医疗保健行业的模式截然不同的护理、融资和交付模式。在这方面，它更像是其他国家的公共卫生服务系统，与英国的国家卫生系统和加拿大的省级卫生保健系统具有共同的特点，并提供了一个有趣的案例研究，供讨论医疗保险和体制改革时参考。
commentary describes the Veterans Health Administration (VHA), the largest public integrated health care system in the United States, from the point of view of someone who has worked as a health services researcher in VHA for more than a decade and now lives and works in Canada. It traces the historical evolution of the VHA and outlines the important contributions it has made that are relevant to current discussions about health insurance and health system reform. The VHA reflects a very different model of care, financing, and delivery than the models that dominate the US health care industry. In this, it is more like public health delivery systems in other countries, sharing features with the National Health System in England and provincial health care systems in Canada, and provides an interesting case study for consideration in discussion of health insurance and system reform.