Conundrums in health care reform: current experiences across the North Atlantic
Conundrums in health care reform: current experiences across the North Atlantic
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DOI：
10.1111/j.1752-7325.2011.00294.x
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发表时间：
2012-03-01
影响因子：
2.3
通讯作者：
Maupome, Gerardo
中科院分区：
文献类型：
--
作者：
Currie, Richard B.;Pretty, Iain A.;Maupome, Gerardo
目的：协助利益相关者（政策制定者，牙医和患者）在美国实施2010年患者保护和平价医疗法案，提供英国工党政府以前的政策和最近当选的联合政府的紧急政策所产生的难题的信息。方法：作者提供了一个背景的国家卫生服务牙科服务的发展与美国的规定相比。从利益相关者（政策制定者，牙医和患者）的不同角度考虑。结论：决策者必须在压力下工作，使服务保持在有限的经济资源和人们愿意支付的范围内。报告强调，必须明确确定优先事项、提供何种服务和界定责任，以满足公众的需求和劳动力的能力。
Objective: To assist stakeholders (policy makers, dentists and patients) implementing the Patient Protection and Affordable Care Act of 2010 in the United States by providing information on conundrums arising from previous polices of the UK Labour government and emergent policies of the recently elected Coalition Government. Methods: The authors provide a background to the development of National Health Service dental services contrasted with US provision. Considerations are given from the different perspectives of stakeholders involved (policy makers, dentists, and patients). Conclusions: Policy makers must work under pressure for services to remain within boundaries of finite economic resources and what people are willing to pay for. The importance is stressed that they respond to public demands and workforce capability by clearly determining what the priorities should be, what services will be delivered, and defining responsibilities.