Neff K E, Moser D R
Physician Exec. 1993 Mar-Apr;19(2):26-9.
The cartoon character Pogo, uttering his now famous line, "We have met the enemy and it is us," might well have been referring to the dilemmas that we face today in American health care. A major source of our current difficulties in solving these admittedly complex problems lies in our way of thinking about, or conceptualizing, health care and health care delivery. We are caught in an old paradigm that is simply not adequate for dealing with the health care delivery problems of the '90s, not to mention those of the 21st Century.
“我们遇到了敌人，就是我们自己”，这话很可能指的是我们如今在美国医疗保健领域所面临的困境。我们当前在解决这些公认复杂的问题时遇到诸多困难，一个主要根源在于我们思考或概念化医疗保健及医疗服务提供的方式。我们陷入了一种陈旧的模式，这种模式根本不足以应对20世纪90年代的医疗服务提供问题，更不用说21世纪的问题了。
