英文文献：Towards universalism? The obstructed process of healthcare reform in bolivia-对普遍主义吗?玻利维亚医疗改革进程受阻
英文文献作者：Sebastian Sirén
英文文献摘要：
In this article a process-tracing approach is used to explore how different factors have contributed to the development of healthcare policy in Bolivia, in light of the current proposal to introduce a unified public healthcare system. The main findings are that although international relations and state bureaucrats have been crucial to the process of formulating policies, the introduction of comprehensive reform will depend on the ability of groups who currently lack access to the healthcare system to form progressive coalitions promoting universalism, as well as the ability of those who benefit from the current arrangements to maintain the status quo. The ability to introduce comprehensive reforms is thus connected to the ongoing processes of decentralisation and democratisation of political decision-making in Bolivia. Although state - corporative welfare state institutions have been shown to be difficult to transform, low coverage levels in such systems combined with a process of increasing political inclusion of previously marginalised groups poses serious challenges to the status quo as the social aspect of citizenship is brought up on the agenda. In order to achieve universal coverage of the healthcare system, however, basic social rights of all citizens must be institutionalised at the same time as the scope and quality of services must be secured in order to avoid segmentation and to encourage the financial participation of the formal and middle income sectors

在这篇文章中，根据目前提出的建立统一公共卫生保健系统的建议，采用过程追踪的方法来探讨不同的因素是如何促进玻利维亚卫生保健政策的发展的。主要发现是,尽管国际关系和国家官员一直在制定政策的过程中,关键的引入全面改革的能力将取决于群体目前缺乏医疗体系形成进步联盟促进普遍主义,以及那些受益于当前安排的能力来维持现状。因此，推行全面改革的能力与玻利维亚正在进行的政治决策下放和民主化进程有关。虽然状态——法人的福利国家制度已被证明难以变换,这种系统的低覆盖率水平结合的过程增加政治包容先前被边缘化的团体带来了严重挑战现状的社会公民方面提上议事日程。为了实现全民覆盖的医疗保健系统,然而,所有公民的基本社会权利必须制度化的同时必须担保服务的范围和质量,以避免分割并鼓励金融参与正式的和中等收入的部门