Katz R, Seth N
Prev Hum Serv. 1986 Fall-Winter;5(1):109-36.
There is a crisis in health care resulting from the scarcity of resources and the inequitable distribution of those resources toward those most able to pay. Two paradigms for the generation and distribution of resources are discussed. The scarcity paradigm, in which individuals must compete for scarce resources, dominates Western care and expresses and supports that crisis. The synergy paradigm, in which individuals share resources which are renewable and expanding, is rare in the West but could help alleviate that crisis. Three case studies of synergy in Western health care are presented, illustrating the nature and functioning of "synergistic community". Dilemmas remaining in the introduction and maintenance of synergy within Western care are discussed.
由于资源稀缺以及这些资源向最有支付能力者的不公平分配，医疗保健领域存在一场危机。本文讨论了资源生成与分配的两种模式。稀缺模式，即个人必须争夺稀缺资源，主导着西方医疗保健，并体现和加剧了这场危机。协同模式，即个人共享可再生且不断扩展的资源，在西方很少见，但有助于缓解这场危机。本文介绍了西方医疗保健中协同作用的三个案例研究，阐明了“协同社区”的性质和运作方式。同时讨论了在西方医疗保健中引入和维持协同作用时仍然存在的困境。
