Callahan D
The Hastings Center, Garrison, NY 10524, USA.
J Med Philos. 1999 Jun;24(3):224-42. doi: 10.1076/jmep.24.3.224.2527.
One of the most important developments in international medicine over the past two decades has been a turn to the market as a way of coping with rising costs and responding to calls for more freedom from government control. A full moral evaluation of the relationship of medicine and the market requires asking a wide range of questions bearing on the meaning and impact of market strategies on the economics of health care and on the clinical and public health outcomes of those strategies. A number of the leading questions are presented and some provisional answers offered.
在过去二十年里,国际医学领域最重要的发展之一就是转向市场,以此作为应对成本上升以及回应摆脱政府控制呼声的一种方式。要对医学与市场的关系进行全面的道德评估,就需要提出一系列广泛的问题,这些问题涉及市场策略对医疗保健经济学的意义和影响,以及这些策略对临床和公共卫生结果的影响。本文提出了一些主要问题并给出了一些初步答案。