外文翻译--在美国的医疗制度改制中整合公共健康和个人护理.docVIP

本科毕业论文外文翻译 外文题目：Integrating Public Health and Personal Care in a Reformed US Health Care System 出 处: American Journal of Public Health 作 者: Chernichovsky, Dov,Leibowitz, Arleen A Rigotti, Nancy A. 原 文： Integrating Public Health and Personal Care in a Reformed US Health Care System THE UNITED STATES HAS THE most technologically intensive medical practice in the world.It also spends more than any other nation on medical care,but health outcomes in the United States are inferior to those in most other developed nations.This inefficiency — spending more with poorer results — stems partly from failure to provide effective access to medical care to a substantial share of the population.Lack of access leads to wider disparities in health in the United States than are experienced by the populations of other developed nations. The fragmented delivery system also leads to cost shifting (insurers attempts to transfer costs to other payers), administrative waste, and an imbalance between spending on medical care and spending on population health initiatives. There is general agreement that the US health care system should be more efficient as well as more equitable.Most comprehensive proposals for reforming the system recognize the need for universal coverage that is independent of employment status, disability status, or age, although some would continue to rely on employers to collect health insurance payments.Although universal insurance is important, it is not the only urgent issue. A reformed system should integrate personal preventive and therapeutic care with public health and should include population-wide health initiatives. Coordinating personal medical care with population health will require a more structured system than has ever existed in the United States. We argue that a reformed health care system not only should provide health insurance coverage for all but should also be organized a