Schweitzer S O
UCLA School of Public Health.
Q Rev Econ Bus. 1990 Winter;30(4):140-7.
Health policy decisions are made in an uneven manner, eluding attempts to explain developments with a coherent theory. Numerous explanations have been suggested to explain individual policy actions, but recently Feldstein has attempted a broader formulation. This Self-Interest Model of Health Policy, however, assumes full knowledge of a policy's benefits and costs. This is an unrealistic assumption, and the model is unable to explain important decisions that have been made in three areas: insurance for long-term care, universal access, and efficiency incentives. This article presents a broader, more powerful formulation of the Feldstein model, specifically incorporating public ignorance as a policy determinant. The vital role of education and health policy research is underscored.
卫生政策的决策方式参差不齐，难以用一个连贯的理论来解释其发展情况。人们提出了许多解释来阐释个别政策行动，但最近费尔德斯坦尝试进行了更广泛的阐述。然而，这种卫生政策的自身利益模型假定对政策的收益和成本有全面了解。这是一个不现实的假设，该模型无法解释在三个领域做出的重要决策：长期护理保险、全民医保和效率激励措施。本文提出了一个更广泛、更有力的费尔德斯坦模型阐述，特别将公众的无知纳入政策决定因素。强调了教育和卫生政策研究的重要作用。
