美国医疗保障制度现状、问题与改革

美国的医疗保障体制是以私人商业医疗保险为主,由公共部门、私人部门和非营利性组织共同构成的,是全世界最复杂的医保体系。长期以来,美国的医疗体制因其高投入低产出———不覆盖全体国民、医疗保健可及性差以及制度缺乏公平性而为人垢病。因此,扩大医保的覆盖率和遏制费用飞涨成为医改主攻方向,美国政府和保险组织进行了一系列诸如管理保健和按病种付费等宏、微观的尝试和改革。从中我们可以得到一些对中国医疗体制改革有益的启示。

The Current Situations, Problems and Reforms of the American's Health Care System

The american's health care system is the most complicated system around the world.It is criticized for its high cost,low return,lack of impartiality and etc.Hence the US government and insurance organizations carried on series of microinnovations and macro-reforms,such as managed care and DRG,aiming at extending coverage and reducing expenditure.We can learn from some its experience which will benefit our Chinese Health Care System reform progress.