Universal health care: Lessons from the British experience
Universal health care: Lessons from the British experience
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DOI：
10.2105/ajph.93.1.25
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发表时间：
2003-01-01
影响因子：
12.7
通讯作者：
Light, DW
中科院分区：
文献类型：
--
作者：
Light, DW
英国国家医疗服务体系 (NHS) 是在第二次世界大战后建立的，人们普遍认为应该向所有人提供医疗保健服务。然而，英国人勉强成功地克服了专业人士的反对，在战前有限的国民保险、各种自愿保险计划、慈善医疗和公共卫生服务的混合体中组建了国民医疗服务体系。成功源于非凡的领导力、赋予获胜政党巨大控制权的议会制政府，以及向关键利益相关者做出重大让步的意愿。作为全世界效仿的基本模式之一，NHS 的最初形式和目前的重组都为美国的医疗改革提供了许多相关的经验教训。
Britain's National Health Service (NHS) was established in the wake of World War II amid a broad consensus that health care should be made available to all. Yet the British only barely succeeded in over-coming professional opposition to form the NHS out of the prewar mixture of limited national insurance, various voluntary insurance schemes, charity care, and public health services.Success stemmed from extraordinary leadership, a parliamentary system of government that gives the winning party great control, and a willingness to make major concessions to key stakeholders. As one of the basic models emulated worldwide, the NHS-in both its original form and its current restructuring offers a number of relevant lessons for health reform in the United States.