医疗卫生服务的整合机制研究3

20101()No.1201050JOURNALOFSUNYAT2SENUNIVERSITYVol.50(223)(SOCIALSCIENCEEDITION)GeneralNo.2233:2009-10-15:(05JZD00023);211;985:(1965-),,,,(510275):,20062:2007,:,2007,2313:,2080,,1985,,;,,,,,,2009-2011,,:;;:R012:A:1000-9639(2010)01-0119-12,,,2080,,:,,,;,;,;,,,;,,,,,,911,,,,,,,,;,,,,;,,,,(),,,;,,,,,,;,,2070,,NHS,,,,,,,,2003,810%,2428();,8517%,1413%,,(),,02120101KarenBloorandAlanMaynard,UniversalCoverageandCostControl.TheUnitedKingdomNationalHealthService,inKhiV.Thai,EdwardT.Wimberley,andSharonM.McManus(eds.),HandbookofInternationalHealthCareSystems.New2York:MarcelDekker,Inc.,2002,pp.261-286.:,20067,,2003,1111%,3204;,()7812%,2118%,,,,,,,2060,65(Medicare),(Medicaid),2003,1512%,5711;,4416%,5514%,,(1/3,2/3),,,,,,,;,,,,,;,,,,,,,,,,,,,,,,,(),,,,(generalpractitioners);;,,,,121:,20067:,,20076:,20056,,,,,,,,,,,,,,(),,,,,,;(,),,,,,,,2070,,,HOMNHS,,1985,;19852005,;2005,,,,,,,,,,,,;,,,,,,,,,,,;,,,,19854,,,,,22120101ShermanFolland,AllenC.Goodman,andMironStano,TheEconomicsofHealthandHealthCare,p.533ClaudiaScott,PublicandPrivateRolesinHealthCareSystems,p.108.:,:,2009,37,130:,:,2005,154,,,19929,,,,:,,;,,,,;,;,,,1985,,,,,,,;,,,,,,,,,,,,,,;,,2000,20057,,,,,,,,,,,,,,:(),,,321:,20083:,20039,,,,(),,,12%,2007,20073152,23881;1016,34;714,3,,:,,;,,,,;,,,,,,,,,,,:;,,,,,,,,,()1989,,;,;,,,102000,,42120101:,:,2009,190:(),:(1989-1991),:,1992,450-453,,;,;;,,,,,,,,,,,,,,;,,,,,,,,;,,,,20093,,,(),,,;;;,,,,;(CollaborationGov2ernment),,,,,,,,,2001,2002,:;;;;,,1,5211,,,,,,,;,,,,,,,;,,,,,,,,,,,,,,,,,,,,,:,,;;,62120101,,,;,,,,,,,:,;,;,;,,,,;,,2,2(),,,,,3,,,,,3,(generalpractitioners);;,,721:,;,;,(),,,,2003,,,,,,,:,,;,,,,,,,,,,(gatekeeper),,;,,,,,,,,,,,,,,,,,,,,,,,;,,,82120101:,20056:,:,2004,181GrahamMoonandNancyNorth,PolicyandPlace:GeneralMedicalPracticeintheUK,London:Macmillan,2000,p.4-5.;,,,(),,,,,,,,,,,2-3,,,,;,,,,,;,,;,(),:,,,;,,,,,,,;,,,,44921,,,,:,,;,;,,,,,,,,,,,,,;,,,,,,,,,,;,,,,,,,,,,;(HolisticGovernment):;:,03120101:,20056