Balk Roger A
Can Fam Physician. 1990 Jun;36:1129-32.
The inclusion of organ transplantation in our health care system raises several questions about the basis for the decision and the process by which it was approved. To function, our health care system requires not only an adequate method for technical evaluation, but also a means for ensuring informed public support for the policies that determine what services are available. In the future, this approval process could lead to the exclusion of a treatment because the system as a whole would not be able to afford its cost. This exclusion could have important implications for the philosophy of medicine and the work of the clinical investigator.
将器官移植纳入我们的医疗保健系统引发了几个关于决策依据及其获批过程的问题。为了正常运转，我们的医疗保健系统不仅需要一种适当的技术评估方法，还需要一种手段来确保公众对决定提供哪些服务的政策给予明智的支持。未来，这种获批过程可能会导致某种治疗方法被排除，因为整个系统可能无法承担其成本。这种排除可能会对医学理念和临床研究人员的工作产生重要影响。
