Giraldes M do R
Int J Health Plann Manage. 1988 Jul-Sep;3(3):167-83. doi: 10.1002/hpm.4740030304.
This article examines the equity principle as it could be applied to the financing of primary health care resources in Portugal. Three resource allocation criteria are considered: namely, the demand/utilization criterion; the health situation criterion; and, the coverage by health services criterion. With data based on health service expenditure, district by district, for 1983, the article shows that quite different results would emerge from the selection of one criterion rather than another. In particular, a policy of positive discrimination would reallocate resources towards the north rather than the south of Portugal, though differences would emerge between districts and between specific activities provided within the framework of primary health care. The results are presented and conclusions drawn.
本文探讨了公平原则在葡萄牙初级卫生保健资源筹资中的应用。考虑了三项资源分配标准：即需求/利用标准；健康状况标准；以及卫生服务覆盖标准。根据1983年按地区划分的卫生服务支出数据，本文表明，选择一种标准而非另一种标准会产生截然不同的结果。特别是，积极差别对待政策会将资源从葡萄牙南部重新分配到北部，不过不同地区之间以及初级卫生保健框架内提供的具体活动之间会出现差异。文中给出了结果并得出了结论。
