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World Health Forum. 1994;15(4):317-22.

Global trends in health care reform.

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National Health Systems and Policies Unit, World Health Organization, Geneva, Switzerland.


Health systems throughout the world are hard pressed to curb costs and safeguard quality. In general, the users of health services are having to pay more for them, and in some cases this is making the system unsustainable. Even where costs can be met, the payment mechanisms used can make a decisive difference in terms of equity and efficiency.

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[Indexed for MEDLINE]

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