The changing US health-care landscape: opportunities and challenges.
The changing US health-care landscape: opportunities and challenges.
复制标题
不断变化的美国医疗保健格局：机遇与挑战。
DOI：
10.1016/s1474-4422(16)00064-8
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Skolarus,LesliE
中科院分区：
文献类型：
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作者：
Callaghan,BrianC;Burke,JamesF;Kerber,KevinA;Skolarus,LesliE
《患者保护和平价医疗法案》极大地改善了美国的保险覆盖面，并为支付改革创造了一个框架。正如Philip Gorelick所指出的，这些巨大的变化带来了巨大的机遇和艰巨的挑战。虽然美国正在积极应对这些挑战，但我们应该认识到，许多其他国家已经拥有成本更低、性能更高的医疗保健系统，包括收费服务结构在内的各种医疗系统结构。具体而言，许多其他国家提供全面的医疗保健覆盖，保持较低的测试，程序和药物成本，并保持比美国更好的健康和卫生系统绩效措施，所有这些国家的神经科医生劳动力都比美国少。也许需要更多的神经系统护理和结果的国际比较，以便美国可以学习国际社会已经学到的宝贵经验。
The Patient Protection and Affordable Care Act has drastically improved insurance coverage in the USA and created a framework for payment reform. As Philip Gorelick points out, with these drastic changes come great opportunities and daunting challenges. Although the USA is actively addressing these challenges, we should recognise that many other countries already have lowercost and higher-performing health-care systems with various health system structures, including fee-for-service structures. Specifically, many other countries provide comprehensive health-care coverage, keep costs of tests, procedures, and medications lower, and maintain better measures of health and health system performance than the USA, all with a neurologist workforce that is smaller than that of the USA. Perhaps more international comparisons of neurological care and outcomes are needed so that the USA can learn the valuable lessons already learned by the international community.