论文部分内容阅读
一、公办老年医疗保险制度自1966年起美国实施公办老年医疗保险制度,对65岁以上的人给予医院治疗费补助。上述制度执行到现在,不仅对美国老年人口提供了保健服务,且对医院管理发生了重大的影响。对老年人来讲,由政府支付其医院和医生的治疗费用,大大增强其就医条件;但另一方面也出现了管理不当、使用医院服务过度、对医院支付不足等现象。实行该制度前,65岁以上病人约占医院病人的25％。实施后15年来,由该制度支付的老年病人达医院病人的48％,几乎增加一倍。公办老年医疗保险制度在经济上和政治上越来越成了脱
1. The public old-age medical insurance system Since 1966, the United States has implemented a public old-age medical insurance system, and has given hospital treatment fees to those over the age of 65. The implementation of the above-mentioned system has not only provided health services to the elderly population in the United States, but has also had a major impact on hospital management. For the elderly, the government pays the hospital and doctors’ treatment fees to greatly enhance their medical conditions; but on the other hand, there are also phenomena such as improper management, excessive use of hospital services, and inadequate payment to hospitals. Prior to the implementation of the system, patients over the age of 65 accounted for about 25% of hospital patients. In the 15 years after its implementation, 48% of elderly patients who were paid for by the system had almost doubled. The public elderly medical insurance system has become increasingly economical and political.