Wismar M
Abt. Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover.
Z Arztl Fortbild Qualitatssich. 1998 Dec;92(10):691-5.
Health systems research aims to contribute to the progressive development of medicine and health services. To bridge the gap between the two logics of scientific and the political administrative agency, politics consultancy may be applied. However, the chances of transferring scientific knowledge into rational politics vary widely. Major issues of health system research include outcome oriented health targets, outcome oriented reimbursement, health technology assessment, new forms of provision, patient information and ageing in regard to healthcare. Physicians are advised to keep in touch with these developments--although some of them are still in an embryonic stage--because they have the potential to deeply influence the physician's practice routines in the future.
卫生系统研究旨在促进医学和卫生服务的逐步发展。为弥合科学逻辑与政治行政机构逻辑之间的差距，可应用政治咨询。然而，将科学知识转化为合理政策的可能性差异很大。卫生系统研究的主要问题包括以结果为导向的健康目标、以结果为导向的报销、卫生技术评估、新的提供形式、患者信息以及医疗保健方面的老龄化问题。建议医生关注这些发展——尽管其中一些仍处于萌芽阶段——因为它们有可能在未来深刻影响医生的执业常规。
