Ruff B
Discovery Health, Johannesburg, South Africa.
J Rheumatol. 2001 Mar;28(3):666-9.
The aim of this paper is to review how decisions are made about the delivery of health care. Limited resources and increasing health care costs have resulted internationally in a growing necessity to understand the economic consequences of health care delivery. Rheumatology remains underfunded because the societal impact of chronic conditions is not well appreciated in the current policy-making context. Although health policy development varies with the care delivery systems, economic evaluation can be used for incremental system-wide reform to prioritize spending across multiple diseases and interventions. It is important to understand how policy and funding decisions are made in order to see how they might be influenced.
本文旨在回顾关于医疗保健服务提供的决策是如何做出的。有限的资源和不断增加的医疗保健成本在国际上导致了越来越有必要了解医疗保健服务提供的经济后果。风湿病学的资金仍然不足，因为在当前的政策制定背景下，慢性病的社会影响没有得到充分认识。尽管卫生政策的制定因医疗服务提供系统而异，但经济评估可用于渐进式的全系统改革，以确定多种疾病和干预措施的支出优先级。了解政策和资金决策是如何做出的，以便了解它们可能如何受到影响，这一点很重要。
