Spek J, Penninx F, Lapré R M
Health Policy. 1985;5(1):73-81. doi: 10.1016/0168-8510(85)90066-1.
This article deals with the lack of information on the side of policy makers, especially the national government, on the opinions of the population with regard to cost-containment. Often important policy matters are developed before the preferences of the public have been adequately sounded. An insight into the view of the public can be obtained by representative surveys among the population. In the article the results are given of a survey conducted in 1984. One of the conclusions is that there are well-balanced opinions on cost-containment in health care among the public. It appears that the public is willing to accept financial cuts, even up to 10%. The public would also agree on less use of hospital beds. However, a majority of the public rejects a reduction of beds. Another conclusion reached by the authors is, that the government should give more information to the public about the consequences of less use of beds, in relation to the total amount of beds, in financial as well as in medical respect.
本文探讨了政策制定者，尤其是国家政府，在成本控制方面缺乏民众意见的问题。重要的政策事项往往在尚未充分了解公众偏好的情况下就已制定。通过对民众进行代表性调查，可以深入了解公众的观点。本文给出了1984年进行的一项调查结果。其中一个结论是，公众对医疗保健成本控制的意见较为平衡。似乎公众愿意接受财政削减，甚至高达10%。公众也会同意减少医院病床的使用。然而，大多数公众反对削减病床数量。作者得出的另一个结论是，政府应就减少病床使用的后果，包括与病床总数的关系、财政和医疗方面，向公众提供更多信息。
