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目的:研究不同医疗保障制度的差异是否在各国的卫生水平差异中实现了其制度的优越性。方法:借用2010年世界卫生组织的统计指标表征国家卫生水平,在初步比较不同医疗保障制度的特征后,建立因子分析模型。结果:简约深入的公共因子指标体系更清晰了不同制度的优越性在卫生现状中的实现。公共因子可识别不同医疗保障制度,其数值可以表征医疗制度对卫生水平的保障成效。结论:中国现有医疗制度,较免费医疗,与社会医疗有更高的共性;较商业医疗,与储蓄医疗有更高的共性。储蓄医疗在公共因子的得分,论证了在较低的个人和政府的卫生支出下,储蓄医疗制度不仅得以建立和完善,而且保障了国家卫生水平。
OBJECTIVE: To study whether the differences between the different medical insurance systems have achieved the superiority of their systems in the differences in health standards among different countries. Methods: To use the statistical indicators of the World Health Organization in 2010 to characterize the national health level. After initially comparing the characteristics of different medical insurance systems, a factor analysis model was established. Results: The simple and in-depth public factor index system clears the realization of the superiority of different systems in the status quo of health. Public factors identify different health care systems, and their values can characterize the effectiveness of the health system in ensuring health. Conclusion: China’s existing medical system has higher commonalities than free medical treatment and social medical treatment. It has more commonalities than commercial medical treatment and savings medical treatment. The score of saving medical in the public factor proves that the savings medical system can not only be established and perfected but also protect the national health level with the low personal and government health expenditures.