选择拨款方法是政府对保健部门必须作出的一个基本经济决策。因此,不同国家的筹集资金,对医生和其他医务人员的支付以及对保健费用的数量和方法施加影响,已经形成自己的一套制度,在国家之间存在较大的差别,这不能不引起人们的注意。当然,选择拨款的制度不能与政治观点分开,因此这并不奇怪。美国的保健制度具有较大的私人市场成分,而东欧各国主要是由国家提供。在美国,拨款方法由国家委员会审定,近来由于政府人员的报告引起在医学报刊上的争论。尽管存在这些意识形态上的不同意见,英国卫生经济学家最初关心的是:根据市场原则的制度能否比现行的国家卫生服务处制度更有效率。对这一问题没有简单的答 The choice of funding method is a basic economic decision that the government must make to the health care sector. Therefore, raising funds from different countries, affecting the payment of doctors and other medical personnel, and the number and methods of health care costs, has formed a system of its own, and there are great differences among countries. This cannot but arouse people’s attention. Attention. Of course, the system of selecting grants cannot be separated from political opinions, so this is not surprising. The health care system in the United States has a larger private market component, while the countries in Eastern Europe are mainly provided by the state. In the United States, the appropriation method has been approved by the National Committee. Recently, due to reports from government officials, disputes have arisen in the Journal of Medical Sciences. Despite these ideological disagreements, British health economists were initially concerned that the system based on market principles could be more efficient than the current National Health Service system. There is no simple answer to this question