Buck D, Eastwood A, Smith P C
University of London.
Int J Technol Assess Health Care. 1999 Winter;15(1):89-107. doi: 10.1017/s0266462399015196.
This paper examines the extent to which it is possible to measure the social importance, or macro benefits, of health care. In contrast to the many micro studies of the benefits of specific health care interventions, methodology relating to such macro benefits is at a very rudimentary stage. A theoretical model is presented that seeks to capture the social consequences of a health care system. In light of this model, three existing empirical approaches to answering the question are examined: the inventory approach, the avoidable mortality approach, and the production function approach. All three have severe limitations in terms of the underlying theoretical model, data availability, and analytic tools employed. A more fruitful approach may be to investigate the value of undertaking a direct survey of citizens' attitudes toward their health care system.
本文探讨了衡量医疗保健的社会重要性或宏观效益的可能性。与众多关于特定医疗保健干预措施效益的微观研究不同，与这种宏观效益相关的方法尚处于非常初级的阶段。本文提出了一个理论模型，旨在捕捉医疗保健系统的社会后果。基于该模型，考察了三种现有的回答该问题的实证方法：清单法、可避免死亡率法和生产函数法。这三种方法在基础理论模型、数据可用性和所使用的分析工具方面都有严重局限性。一种更有成效的方法可能是调查直接对公民对其医疗保健系统的态度进行调查的价值。
