查詢結果分析
來源資料
頁籤選單縮合
題 名 | 美國軍方醫療體系的現況與問題=A Review of the U.S. Military Health Care System |
---|---|
作 者 | 高森永; 陳育忠; | 書刊名 | 醫學研究 |
卷 期 | 18:1 1997.07[民86.07] |
頁 次 | 頁1-10 |
分類號 | 594.93 |
關鍵詞 | 責任區; 醫療過失; 健康照護改革計畫; 軍事醫療設施; 軍方醫療體系; Catchment area; Malpractice; Health care reform; Medical treatment facilities; Military health care system; |
語 文 | 中文(Chinese) |
中文摘要 | 美國的軍方醫療體系是其聯邦政府健康照護體系的一支,而美國聯邦的健康照護體系與其國內其他的醫療保健服務體系一樣,存有許多問題。然而,持平而論,聯邦健康照護體系的正面貢獻仍遠超過其負面效果,而且也達成許多值得肯定的成就;此外,從許多層面觀察,聯邦政府的健康照護體系,特別是軍醫體系,對美國其他的醫療保健服務體系常具有帶頭示範的作用。 美軍醫療體系在全美所有醫療系統中,堪稱設備最完備且素質最高者,因其不但有充足的人力、完善的設備,且服務範圍極為廣泛,尤其強調公共衛生預防保健措施;與弊端叢生而且功能不彰的美國其他醫療體系相形之下,軍醫體系的經營模式的確能提供較高品質的醫療照護,而且也較能有效控制成本,同時也保障臨床軍醫的專業訓練機會與執業安全。然而,美軍醫療體系近年來也因為其國內外政治環境的急劇變遷,而面臨極大的衝擊與變革,諸如人員、設備、及經費日漸不足等潛在問題均一一浮現,而使得整個體系的運作顯得相當沒有效率,且危機四伏。 本文擬簡介美國軍方醫療體系的現況及其所遭遇到問題,並探討其所採取的各項因應策略,希望從美軍的醫療體系實際變革經驗中獲取些許啟示,以供我國軍方醫療體系在面臨類似問題時的因應參考。 |
英文摘要 | The US military health care system is a branch of its federal health care. Like the rest of US health care systems, various problems inhere in the federal health care. However, the federal health care has reached numerous notable achievements. In many aspects, the federal health care has been the innovator and navigator for positive changes in the US health care systems. The military health care system is well equipped and staffed that is generally thought of as among the best in the US health care systems. The US military health care system provides comprehensive care, covering medical needs from birth to death, from primary and public health to super-specialist care, with no out-of-pocket cost to the beneficiaries. Far from leading a confused and dysfunctional US system for the provision of medical care, the military model offers an opportunity to control costs and ensure quality. At the same time, it has provided substantial guarantees to military physicians that their professional practice will be protected and their clinical autonomy has been preserved. However, under the present US military system of medicine, military physicians are frequently given inadequate support to perform their jobs effectively and efficiently due to tight budgets and downsizing. This paper describes the present US military health care system and the major pressures on the system. Hopefully, it may have significant implications for our military health care system. |
本系統中英文摘要資訊取自各篇刊載內容。