醫療體制滿意度調查：荷蘭最好 美國最差
Americans are the least satisfied with their health care system, while the Dutch system is rated the best, according to new research.
Polls about health care in 10 developed countries by Harris Interactive revealed a range of opinions about what works and what doesn't.
In the United States a third of Americans believe their system needs to be completely overhauled, while a further 50 percent feel that fundamental changes need to be made.
"Given that all countries other than the U.S. have universal health care systems in place, this may invite questions on why the US remains the only wealthy, industrialized country without such a system," Harris president George Terhanian said.
In the Netherlands, where health care is financed by mandatory health insurance, 42 percent of people think their system works well and needs only minor changes.
And only nine percent of the Dutch think a complete overhaul is necessary, compared to 12 percent in Canada and Spain, 15 percent in Britain and France, 17 percent in Germany and New Zealand, 18 percent in Australia and 20 percent in Italy, according to the polls of more than 1,000 people in each country.
The U.S. model, widely criticized on its combination of private insurance and publicly-funded programs, spends more on health care than any other nation worldwide but ranks low on overall quality of care, according to the World Health Organization (WHO).
France's health system, based on compulsory national insurance, was ranked best in the world by the WHO in 2000, while Britain's National Health Service, the world's largest publicly funded system, was in 18th place.
The Harris comparison of the national surveys showed that 70 percent of the French and 59 percent of Britons think their health services are "the envy of the world."
Nearly 70 percent of Germans, a majority of whom receive coverage from state-funded insurance plans, feel that access to healthcare depends on a patient's ability to pay for it.
But at least 47 percent of those surveyed in all countries think there are some good things in their systems but they need to be improved.
一項有關醫療體制的最新調查顯示，美國人對本國的醫療體制最不滿意，荷蘭的醫療體制滿意度最高。
該項由“哈里斯互動”調查公司開展的民意調查涉及十個發達國家，其結果反映了人們對醫療體制有效性的一系列看法。
在美國，三分之一的人認爲本國的醫療體制需要徹底改革，另有50%的人覺得需要進行一些根本性的變革。
“哈里斯互動”的總裁喬治•特哈尼安說：“除美國以外的所有其它國家都擁有全民性的醫療保健體制，這就會讓人不禁要問：作爲一個富有的工業化國家，爲什麼唯獨美國沒有這樣的醫療體制？”
在荷蘭，醫療費用由強制健康保險提供，42%的荷蘭人認爲他們的醫療體制很合理，只需要進行一些小的改進。
該調查對各國的1000多人進行了訪問。調查結果顯示，只有9%的荷蘭人認爲他們的醫療體制需要徹底改革，而這一比例在加拿大和西班牙爲12％，英國和法國爲15%，德國和新西蘭爲17%，澳大利亞爲18%，意大利爲20%。
據世界衛生組織稱，美國的醫療體制因將私人保險與公共資助項目混在一起而廣受批評，這種體制的醫療支出高於其他任何國家，但整體保障質量卻不佳。
在世衛組織2000年的一項排名中，以國家強制保險爲基礎的法國醫療體制位居第一，而全世界最大的公共醫療體系、英國全國衛生保健服務體系則名列第18位。
“哈里斯互動”對各國調查的對比分析結果顯示，70%的法國人和59%的英國人都認爲本國的醫療衛生服務體系令“全世界羨慕”。
近70%的德國人認爲，是否能夠享受醫療保健服務取決於病人的經濟承受能力，大部分德國人都享受國家資助的保險計劃。
但在各國受訪者中，至少有47%的人認爲本國的醫療體制中有一些不錯的方面，不過仍需要改進。
