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本文回顾了美国退伍军人(VA)医院系统发展历史及其现状,着重介绍了VA 医院对美国临床医学教育的重要贡献以及在临床科研和医疗技术成本效果分析等方面的重要作用,并为VA 医院系统今后的发展提出了有益的建议。文章还指出,VA 医院系统在预算限制的形势下保持稳定的工作量和良好的经验对美国医疗保健系统具有借鉴作用。
This article reviews the history and current status of the system development of the United States Veterans (VA) hospitals, and highlights the important contributions of the VA hospital to the clinical medical education in the United States and its important role in the clinical research and the analysis of the cost effectiveness of medical technology. It is also a VA hospital. The future development of the system provides useful suggestions. The article also pointed out that the VA hospital system maintains a stable workload and good experience in the context of budgetary constraints and has implications for the U.S. healthcare system.