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1、McKinseyGlobalInstituteAFrameworktoGuideHealthCareSystemReformOctober20062McKinseyGlobalInstituteTheMcKinseyGlobalInstitute,foundedin1990,isanindependenteconomicsthinktankwithinMcKinsey&Companywhoseprimarypurposeistoundertakeoriginalresearchanddevelopsubst
2、antivepointsofviewoncriticaleconomicissuesfacingbusinessesandgovernmentsaroundtheworld.Weseektohelpbusinessleadersandpolicymakersunderstandtheevolutionoftheglobaleconomy,improveperformanceandcompetitiveness,andprovideafactbasefordecisionmakingatboththenati
3、onalandinternationallevel.MGI’sworkisauniquecombinationoftwodistinctdisciplines:economicsandmanagement.Economistsoftenhavelimitedaccesstothepracticalproblemsfacingseniormanagers,whileseniormanagersoftenlackthetimeandincentivetolookbeyondtheirownindustrytot
4、helargerissuesoftheglobaleconomy.LedbyMGIDirectorDianaFarrell,eachresearchprojectincludesateamofMcKinseyconsultantsfromaroundtheworldwhoservesix-to12-monthassignmentsbeforereturningtoclientwork.Ourresearchteamsworkwithanumberofleadingeconomists,includingNo
5、bellaureates,whoserveasMcKinseyGlobalInstituteAcademicAdvisors.MartinBaily,aseniorfellowattheInstituteofInternationalEconomicsandformerChairmanofPresidentClinton’sCouncilofEconomicAdvisors,iscurrentlyanMGIsenioradvisor.TheGlobalInstituteisbasedinSanFrancis
6、coandhasapresenceinWashington,D.C.,NewYork,London,andShanghai.AFrameworktoGuideHealthCareSystemReformMcKinseyGlobalInstituteOctober2006CarlosAngrisanoYairElbazDianaFarrellLuciaFioritoNicolausHenkeKamiarKhajaviBobKocherMarthaLaboissiereAlisonLoatPaulMangoDa
7、vidNuzumJürgenWettkeThisperspectiveiscopyrightedbyMcKinsey&Company,Inc.;nopartofitmaybecirculated,quoted,orreproducedfordistributionwithoutpriorwrittenapprovalfromMcKinsey&Company,Inc.Preface4ThisresearchistheresultofextensivecollaborationbetweenMcKinsey’s
8、HealthSystemInterestGroupandtheMcKinseyGlobalInstitute.Tocontributetothedebateonhealthcaresystemreform,wehavedevelopedaframeworkandtesteditsabilitytomeasureandexplaindifferencesandcom-monfeaturesamonghealthca
