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首页> 外文会议>International Conference on Public Administration; 20061021-22; Chengdu(CN) >A Comparative Study of the Chinese, U.S. and Canadian Healthcare Systems What can China learn from developed countries, and vise versa?
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A Comparative Study of the Chinese, U.S. and Canadian Healthcare Systems What can China learn from developed countries, and vise versa?

机译：中，美，加医疗系统的比较研究中国可以从发达国家那里学到什么，反之亦然？

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摘要

This article describes and examines the newly implemented basic medical insurance system for urban employees in China. The insurance system was built on two distinct concepts, individual providence and social insurance; and characterized by national government mandates, local government administration, and employer/employee contributions. The study found that the Chinese basic medical insurance program for urban employees was implemented in all major urban areas. About 130, million people were covered under the scheme as of May 2005. The program benefits are limited with relatively low ceilings on reimbursable expenses and high rates of cost sharing from the insured. The procedure for reimbursement is complicated and time consuming. China can learn from the U.S. and Canadian systems in both financing and providing healthcare. The U.S. system arguably supplies the best medical services in terms of quality and accessibility for those who are insured or for those who can pay out of pocket. But the huge costs may not work well with China at present. The Canadian system, which is relatively effective, efficient, and equitable, although not as accessible, may fit China better. The study also suggests that the U.S. employer based healthcare insurance system requires a major overhaul. The U.S. healthcare system puts U.S. companies at a disadvantage in the increasingly competitive global marketplace.
机译：本文介绍并研究了新实施的中国城镇职工基本医疗保险制度。保险制度建立在两个截然不同的概念上，即个人养老金和社会保险。并以国家政府的授权，地方政府的行政管理以及雇主/雇员的缴费为特征。研究发现，中国城镇职工基本医疗保险计划已在所有主要城市地区实施。截至2005年5月，该计划覆盖了约130亿人。由于可报销费用的上限相对较低，而且被保险人分担的费用率很高，该计划的收益有限。报销程序复杂且耗时。中国可以在融资和提供医疗保健方面从美国和加拿大的体系中学习。就质量和可及性而言，美国系统可以为投保人或可以自付费用的人提供最佳的医疗服务。但目前，巨额成本可能无法与中国很好地配合。尽管效率不高，但相对有效，高效和公平的加拿大体系可能更适合中国。这项研究还表明，基于美国雇主的医疗保险体系需要大修。美国医疗保健系统使美国公司在竞争日益激烈的全球市场中处于劣势。

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