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全民医疗保健制度是加拿大卫生体系乃至社会政策的核心,经济起伏下的筹资增减深刻影响到加拿大近二十年卫生发展历程,以公平、公正为基本价值观,构建低成本高效益卫生服务体系,为全民及时提供高质量卫生服务是加拿大卫生改革发展的基本趋势。本文介绍了上世纪后十年和本世纪初十年两阶段的加拿大卫生改革的背景、现状、特征、主题、内容、影响、经验和教训,并从公平、效率和长期性三方面阐述了对我国卫生改革发展的启示。
The universal health care system is the core of the Canadian health system and even social policies. The increase and decrease of financing under the economic fluctuation has a profound impact on the development of health in Canada for nearly two decades. With fairness and fairness as the basic values, a low-cost and highly-efficient health service system has been established, It is the basic trend of Canada’s health reform and development to provide high-quality health services to all citizens in a timely manner. This paper presents the background, status quo, characteristics, themes, content, influence, experience and lessons of the Canadian health reform in the last decade and the first decade of this century. It also elaborates on the three aspects of fairness, efficiency and long-term health reform Enlightenment of Health Reform and Development in China.