论文部分内容阅读
美国的卫生医疗正处在一个大的变动期间。这些变动的原因在哪里?它的变动的动力是什么?整个医疗卫生体系在今后十年或二十年后将会走到哪一个方向和程度?这些是需要谈的。第一个动力在改变美国医疗卫生服务和制度的是人口的动态。美国人口在变,在几十年前就有趋势存在。这是由于人口的生育率的降低和期望寿命延长的缘故,美国目前的生育率从1969年起已下降到置换率以下,即每年每个妇女要生2.1个小孩才能使总人口数维持平衡,可是美国十多年来生育率
Health care in the United States is in a period of great changes. Where are the reasons for these changes? What are the motives for its change? Which direction and degree will the entire health care system take in the next ten or twenty years? These are needed to be discussed. The first motivating factor in changing U.S. healthcare services and institutions is population dynamics. The U.S. population is changing and there is a trend that existed decades ago. This is due to the declining fertility rate of the population and the prolonged life expectancy. The current fertility rate in the United States has fallen below the replacement rate since 1969, ie every woman has to produce 2.1 children each year to maintain the balance of the total population. But the United States’ fertility rate for more than a decade