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加拿大醫療衛生體系的經驗及對我國的啟示

注意:本論文已在 《中共浙江省委黨校學報》2007年02期發表
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周向紅 吳昀橋
(同濟大學 經濟與管理學院,上海 200092)

摘要:加拿大經過了長期的探索與實踐,現已經基本上形成了一套比較完整的醫療衛生體系,并基本上解決了國內居民的醫療衛生問題,充分滿足了本國居民的醫療保障。加拿大公共衛生體系體現出了普遍性、全面性、可及性等特點。普遍性、全面性、可及性使加拿大的每一位居民都能夠公平的獲得完善的醫療衛生服務,便攜性則保證了加拿大居民不管身在何處都能夠被公共衛生保健保險所覆蓋。而地方政府主導模式則意味著各省和地區的的政府承擔區域公共衛生保健保險的主要責任。雖然我國和加拿大國情有別,但一些經驗是具有普遍意義的,本文結合大量文獻資料以及實地考察對加拿大醫療保障進行分析和剖解,為我國現行的改革提供了借鑒性的框架.
關鍵詞: 加拿大,醫療保障體系,啟示


The enlightenment of the experience of the construction of the public health system in Canada to our country

Zhou Xianghong, Wu Yunqiao
(School of Economics and Management,Tongji University,Shanghai 200092,China)


Abstract:By a long time of exploration and practice, Canada has basically established a relatively whole public health system. Through the system, Canada has basically solved the problem of Canadian medical health and has relatively fully satisfied the demand from the resident. The public health system in Canada has taken on these characteristics, including universality, allsidedness, accessibility and so on. These characteristics of universality, allsidedness and accessibility can make every Canadian equally achieve perfect service of medical health. The all levels of government in Canada have specific responsibilities in the public health system and can cooperate very well. Besides, the public health system in Canada make some nonprofit organizations such as the medical association and so on play an important role in the supervisory system. In addition, the effect of family doctors is very important in the public health system, and Canadian government has devised a scientific process to hospitalize. Although there are some differences existed between our country and Canada, some experience of the construction of the public health system in Canada have universal meaning. On the basis of collecting and studying a great number of materials and field survey, the article has analyzed and dissected the public health system in Canada. In addition, the article has introduced some cases. The destination of the article is to give the construction of the pubic health system in our country some suggestions and direction.
Keyword: Canada; the public health system; the medical security

 

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