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卫生费用的控制问题,是当代一系列重大社会问题中的一个问题。实际上,它也是向我们这个经济发达、社会发展的整个社会的挑战。今天,已经没有谁再会怀疑控制日益增长的社会费用支配的必要性了,它的增长速度远远地超过了社会物质财富增长的速度。但是,一切调节、特别是涉及到人类卫生事业费用的调节,都应当是极其审慎和有节制的。因为任何一项盲目的政策,只能得到一些有限的收效;有些甚至会引致有害的结果。问题是如此重要,因此,对其进行研究和商榷乃是很及时的。在卫生事业的费用中,医院费用理所当然地据重要地位。由于法国医院的传统的自治性以及公共服务事业的毫无生气的现象,法国的公共福利政策,几乎总是处于一种惰性状态。
The control of health costs is a problem in a series of major contemporary social issues. In fact, it is also a challenge to our entire society with developed economy and social development. Today, no one has ever doubted the need to control the ever-increasing dominance of social costs. Its growth rate far exceeds the growth rate of social material wealth. However, all adjustments, especially those related to the cost of human health, should be extremely prudent and modest. Because of any blind policy, we can only get some limited benefits; some even lead to harmful results. The problem is so important. Therefore, it is timely to study and discuss it. In the cost of health services, hospital fees are of course important. Due to the traditional autonomy of French hospitals and the lack of public services, France’s public welfare policies are almost always in an inert state.