Cassell E
Wall St J Midwest Ed. 1979 Apr 30:000.
Cassell discusses the dichotomy of medical care as being both a technical service and a personal interaction. He states that consumers want personal medical care to be readily available at a low cost. He sees this as a contradiction arguing that "the forces necessary to keep every medical service identical and cheap discourage the intense personal involvement by the physician in the patient's care that is required to lift medicine above the merely technical." Further, waning trust in individual physicians has been exacerbated by the use of more technical services in medical examinations and by higher costs. Cassell believes that medical care should be conceptualized as a personal service rather than a social commodity which employs individual knowledge, human concern, judgement and experience. This would re-establish trust between doctors and patients and, hopefully, would reduce the reliance on expensive medical technology, allowing health care costs to decline.
卡塞尔探讨了医疗保健的二分法，即它既是一种技术服务，也是一种人际互动。他指出，消费者希望以低成本随时获得个性化医疗服务。他认为这是一个矛盾，理由是“使每项医疗服务保持一致且价格低廉所需的力量，会阻碍医生对患者护理的深度个人投入，而这种投入是使医学超越单纯技术层面所必需的”。此外，在医学检查中使用更多技术服务以及成本上升，加剧了对个体医生信任的下降。卡塞尔认为，医疗保健应被视为一种个性化服务，而非一种利用个人知识、人文关怀、判断力和经验的社会商品。这将重建医患之间的信任，并且有望减少对昂贵医疗技术的依赖，从而降低医疗保健成本。
