Buxton M J, West R R
Br Med J. 1975 May 17;2(5967):376-9. doi: 10.1136/bmj.2.5967.376.
A cost-benefit analysis of long-term maintenance haemodialysis indicates that there is a large gulf between the cost of the service and "economic" benefit. The difference may be considered to represent one estimate of the price society is prepared to pay to maintain life. Using "best estimates" from available data we found the implicit social value of maintaining a patient on haemodialysis to be approximately pounds 4720 per annum in hospital or pounds 2600 at home. The analysis would suggest that society must look carefully at alternative uses for health expenditure before extending indiscriminately to large sections of the population these treatment programmes or other similarly expensive.
长期维持性血液透析的成本效益分析表明，该服务的成本与“经济”效益之间存在巨大差距。这种差异可被视为社会为维持生命愿意支付的价格的一种估计。利用现有数据的“最佳估计”，我们发现维持一名血液透析患者的隐含社会价值在医院约为每年4720英镑，在家中约为2600英镑。该分析表明，在不加区别地将这些治疗方案或其他同样昂贵的方案推广到大部分人群之前，社会必须仔细审视卫生支出的其他用途。
