美国参议员在HIMSS08的基调发言概述医疗健康改革中的挑战

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美国参议员在HIMSS08的基调发言概述医疗健康改革中的挑战 2008-02-27 09:02:35  作者：张文燕翻译  来源：卫生部医院管理研究所  浏览次数：19  文字大小：【大】【中】【小】
关键字：美国 参议员 HIMSS08 医疗健康
据佛罗里达州奥兰多报道——美国参议员前多数党领导者Bill Frist（医学博士）周一在HIMSS08所做的基调发言中表示，医疗健康IT专业人员是解决美国“医疗健康混乱”问题的关键。
在他对与会者所做的长达一个小时的开幕发言中，Frist描述了走向危机的美国医疗健康系统以及抗击霸权主义医疗健康的两个可选政治愿景。
他说，“医疗保险基金会将在2019年之前破产，而社会保障基金将在20多年后破产。这是在下任政府期间必须强调的道德问题，但是解决方案却只能择其之一。”
Frist警告说，授权项目的联邦支出将会在2030年之前攫取所有收入，而其他重要项目则会一无所用。他还补充道，随着人口老龄化与医疗保险受保人的寿命延长，每位退休人员的支持工作人员数将会减少。
Frist表示，尽管两大政治党派都认可了改变的需要，他们却明确规划了不同的道路。共和党强调降低医疗健康高成本的需求，并很关心联邦政府日渐增强的作用。相反，民主党则关注于未受保人保险覆盖面的扩展。
他说，“成本是共和党关心的问题，而覆盖面则是民主党忧虑的问题了。”
Frist这位来自田纳西州的前共和党参议员呼吁一个基于竞争的“以患者为中心”且价值驱动的医疗健康系统。他表示，联邦政府的角色应当是一个驱动者而非解决问题者。
他说，“我不相信政府会成为医疗健康改革的引擎。只要这项动议还是围绕患者来进行协调，那么消费者就会促进改革。”
尽管Frist表示医疗健康IT专业人员将会成为改革医疗健康系统的骨干力量，他也指出了医疗健康IT广泛应用的两大主要障碍——隐私权及安全性与成本问题。
Frist告诉与会者，“在座各位肩负着重大责任。医疗IT将在未来的医疗科学与技术中发挥基础作用。”

Frist keynote outlines challenges in healthcare reform

By Richard Pizzi, Associate Editor
02/25/08

ORLANDO, FL - Healthcare IT professionals are the key to solving the problems of the "healthcare mess" in the United States, said Bill Frist, MD, former majority leader of the U.S. Senate and Monday's keynote speaker at HIMSS08.

In his hour-long opening address to conference attendees, Frist described a U.S. healthcare system moving toward crisis, with two alternative political visions of healthcare battling for supremacy.

"The Medicare trust fund will go bankrupt by 2019, over 20 years before the social security fund goes bankrupt," he said. "This a moral issue that must be addressed by the next administration, but there are competing solutions."

Federal spending on entitlement programs will gobble up all revenues by 2030, Frist warned, leaving nothing for other important programs. As the population ages and Medicare recipients live longer, he added, there will be fewer workers to support each retiree.

While both political parties recognize the need for change, they have outlined clearly different paths, Frist said. Republicans emphasize the need to reduce the high cost of healthcare and are leery of an increasing role for the federal government. By contrast, Democrats focus on a major expansion of coverage for the uninsured.

"Cost is a Republican issue, and coverage is a Democratic concern," he said.

Frist, a former Republican senator from Tennessee, called for a "patient-centered," value-driven healthcare system based on competition. He said the role of the federal government should be that of enabler, not problem-solver.

"I don't believe the government will be the engine of healthcare reform," he said. "The consumer will drive reform as long as the incentives are aligned around the patient."

While Frist said healthcare IT professionals would be the backbone of a reformed healthcare system, he did identify two primary hurdles for the widespread adoption of healthcare IT – privacy and security and the cost issue.

"A great responsibility lies with you in this room," Frist told the audience. "Health IT will play the primary role in medical science and technology in the future."

Source：http://www.healthcareitnews.com/story.cms?id=8762