作者: Edward L. Baker
DOI: 10.1001/JAMA.1994.03520160060044
关键词: International health 、 Economic growth 、 Social determinants of health 、 Environmental health 、 Health policy 、 Medicine 、 Community health 、 Health promotion 、 Public health 、 Health care reform 、 Health care
摘要: REGARDLESS of the direction or timing reform health care financing system, nation's status may not substantially improve without simultaneous public system. Reducing administrative complexity and redundancy and, most important, assuring that all US citizens have access to quality medical will do little influence true determinants ill health: unsafe environments, unhealthy personal behaviors, biologic, genetic, socioeconomic factors.1-3These account for more than 1 million deaths per year untold levels preventable morbidity expensive (avoidable) in United States.4Thus, concept system should be restricted primarily care; it also encompass strengthening practice stimulating new systems integration among organizations within a community whose missions an impact on public, many