在美国的医疗制度改制中整合公共健康和个人护理外文翻译

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1、在美国的医疗制度改制中整合公共健康和个人护理外文翻译木科毕业论文外文翻译夕卜文题目：IntegratingPubliclleei1thandPersonalCareineiReformedUSHea1thCareSystem出处：AmericanJournalofPublicHealth作者：Chernichovsky,Dov,Leibowitz,ArleenARigotti,NancyA原文：IntegratingPublicIlea1thandPersonalCeireinaReformedUSHealthCareSystemTHEUNITEDSTATESHASTHEmostt

2、echnologicallyintensivemedicalpracticeintheworld.Italsospendsmorethananyothernationonmedicalcare,buthea1thoutcomesintheUnitedStatesareinferiortothoseinmostotherdevelopednations.Thisinefficiency?spendingmorewithpoorerresuIts?stemspartlyfromfai1uretoprovideeffectiveaccesstomedicalcaretoasubstant

3、ialshareofthepopulation.LackofaccessleadstowiderdisparitiesinhealthintheUnitedStatesthanareexpericncodbythepopulationsofotherdevelopednations.Thefragmenteddeliverysystemalsoleadstocostshiftinginsurers'attemptstotransfercoststootherpayers,administrativcwastc，andanimbalancebetweenspendingonmedic

4、alcareandspendingonpopulationhealthinitiatives.ThereisgeneralagreementthattheUShea1thcaresystemshouldbemoreefficientaswellasmoreequitable.Mostcomprehensiveproposalsforreformingthesystemrecognizetheneedforuniversalcoveragethatisindependentofemploymentstatus，disabilitystatus,orage,althoughsomewo

5、uldcontinuetorelyonemployerstocollecthealthinsurancepayments.Althoughuniversalinsuraneeisimportant,itisnottheonlyurgentissue.Areformedsystemshouldintegratepersonalpreventiveandtherapeuticcarewithpublichealthandshouldincludepopulation-widehealthinitiatives.Coordinettingpersonalmedicalcarewithpo

6、pulationhealthwillrequireamorestructuredsystemthanhaseverexistedintheUnitedStates.Wearguethatareformedhea1thcaresystemnotonlyshouldprovidehealthinsurancecoverageforallbutshouldalsobeorganizedandfundedtotakcadvantageofnewknowledgeaboutmedicalandnonmedicaldeterminantsofhealth.Thishealthtrustsyst

7、emHTSwould1assessthecostofhealthinsuraneeequitably,2promoteefficiencybyreducingfragmentationandrelyingoncompetitivemarkets,3allowcoordinationofspendingonpopulationhea1thandpersonalmedicalcare,4accommodatehctcrogcncouspreferences,and5bui