McGivney W T
Physician Exec. 1991 Jul-Aug;17(4):35-7.
The debate over which mechanism for health care delivery will provide the widest, most efficient access has reached a crescendo. While the debate on the macro level accelerates, many significant approaches continue to be discussed and implemented on a micro level. Among these activities are imminent release of the final rule on "Criteria and Procedures for Making Medical Services Coverage Decisions that Relate to Health Care Technology--Medicare," implementation of the Safe Medical Devices Act of 1990 by the FDA, and a proposal that payers establish a cooperative national technology assessment program.
关于哪种医疗服务提供机制能实现最广泛、最高效的医疗服务可及性的争论已达到白热化程度。在宏观层面的争论愈演愈烈之际，许多重要方法仍在微观层面得到讨论和实施。这些活动包括即将发布关于“与医疗技术相关的医疗服务覆盖决策标准和程序——医疗保险”的最终规则、美国食品药品监督管理局（FDA）实施1990年的《安全医疗器械法案》，以及一项关于支付方建立全国性技术评估合作项目的提议。
