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Studies Show US Spending Doesn’t Get Best Health

The United States many spend twice as much on health care as other rich countries1, but it is not getting results to match2 according to studies released on Tuesday.

But in the study of five wealthy countries, published in the journal Health Affairs, researchers found no single nation had clearly the worst or best health care system.

Gerard Anderson at Johns Hopkins University’s school of public health and colleagues came up with3 a list of 21 health fields they could evenly compare across the five countries —Australia, Canada, Britain, New Zealand and the United States.

"None of the five countries is consistently the best or the worst on all 21 indicators." Anderson said during a telephone briefing for reporters.

"If you are looking for the place to get the best care, there isn’t a single place. Every country has at least one indicator where it scores the best of the five countries and each country has at least one indicator where it scores the worst of the five countries. "

But, he said, the United States is not getting value for money. "The United States should be particularly concerned about these results, given that we spend twice as much on health care as any other country. So spending more doesn’t necessarily result in4 "better outcomes."

Anderson’s group of international health experts sponsored by the Commonwealth Fund spent five years working on the study, getting the latest possible data from the five countries on areas such as breast cancer and leukemia survival, suicide rates, death rates from asthma, vaccination rates and cancer screening.

注釋：

1.spend twice as much on health care as other rich countries:在衛(wèi)生保健方面的花費(fèi)是其他富裕國(guó)家的兩倍

2.to match：(在數(shù)量或質(zhì)量上)相當(dāng)

3.came up with:想出,提出

4.result in:導(dǎo)致

答案與解析：

1.A文章第一、六兩段分別提到,美國(guó)在衛(wèi)生保健方面的開支是其他富裕國(guó)家的兩倍。

2.B文章第二、五兩段分別提到,在這五個(gè)國(guó)家中,沒有一個(gè)國(guó)家能提供最好的衛(wèi)生保健服務(wù)。

3.C文章只說(shuō)美國(guó)在衛(wèi)生保健方面的開支是其他富裕國(guó)家的兩倍,但并沒有提及其衛(wèi)生保健方面的開支是否在逐年遞增。

4.B文章第六段明確說(shuō)明,并非衛(wèi)生保健方面的開支越大,所提供的衛(wèi)生保健服務(wù)就一定越好。

5.A從文章的第二、七兩段可以得知,該項(xiàng)研究涉及五個(gè)國(guó)家,歷時(shí)五年。

6.B文章只說(shuō)美國(guó)在衛(wèi)生保健方面的開支是其他富裕國(guó)家的兩倍,而所提供的衛(wèi)生保健服務(wù)卻并非明顯優(yōu)于其他富裕國(guó)家。但并不能因此推斷說(shuō)其他富裕國(guó)家的衛(wèi)生保健服務(wù)就優(yōu)于美國(guó)。

7.C文章第六段提到,美國(guó)應(yīng)該特別關(guān)注此項(xiàng)研究的結(jié)果,但并沒有表明美國(guó)已經(jīng)下決心改善其衛(wèi)生保健系統(tǒng)。

譯文：研究表明美國(guó)在醫(yī)療衛(wèi)生方面的花銷沒有使它成為最好的

根據(jù)星期二發(fā)布的研究結(jié)果，美國(guó)在衛(wèi)生保健方面的花費(fèi)是其他富裕國(guó)家的兩倍，但并設(shè)有得到相應(yīng)的結(jié)果。

在《醫(yī)療事件》雜志上發(fā)表的對(duì)五個(gè)富有國(guó)家的研究中，研究者們發(fā)現(xiàn)沒有哪個(gè)國(guó)家有明顯的最壞或最好的醫(yī)療體系。

約翰·霍普金斯大學(xué)的公共衛(wèi)生學(xué)院的Gerard Arderson及其同事制定出一個(gè)21個(gè)醫(yī)療領(lǐng)域的名單，他們將橫向地比較五個(gè)國(guó)家——澳大利亞、加拿大、英國(guó)、新西蘭和美國(guó)。

安德森在對(duì)記者的電話簡(jiǎn)報(bào)中說(shuō)：“在這所有的2l項(xiàng)指標(biāo)里，這五個(gè)國(guó)家中沒有一個(gè)始終保持是最好的或最壞的。”

“如果你正在尋找一個(gè)能夠得到最好的醫(yī)療的地方，沒有這個(gè)地方。每個(gè)國(guó)家至少有一個(gè)指標(biāo)是排在第一位的，也至少有一個(gè)指標(biāo)排在最后。”

但是，他說(shuō)美國(guó)的錢花得不值。

“鑒于我們比別的國(guó)家多花一倍的錢，美國(guó)應(yīng)該尤其關(guān)心這些結(jié)果。

花的錢多并不一定就會(huì)有好的結(jié)果。”

由聯(lián)邦基金資助的Anderson的國(guó)際衛(wèi)生專家團(tuán)花了五年的時(shí)間做這個(gè)研究，從五個(gè)國(guó)家得到如乳腺癌、白血病存活率、自殺率、哮喘死亡率、接種率和癌癥檢查等領(lǐng)域的盡可能新的數(shù)據(jù)。