Lamm Richard D
Institute for Public Policy Studies, University of Denver, USA.
Healthc Financ Manage. 2003 Sep;57(9):74-7.
With resources becoming scarcer, providers, payers, and governments alike are grappling with how to best use these resources to serve the American people. Should the focus be on caring for individual patients (microallocation)? Or should the focus be on how to best serve a group of people (macroallocation)? Whether tax monies or health insurance premiums, pooled resources are always limited resources. Macroallocation involves trade-offs and setting priorities, but in the end, rationing is an obligation.
随着资源日益稀缺，医疗服务提供者、支付方和政府都在努力应对如何最好地利用这些资源来服务美国民众。重点应该是照顾个体患者（微观分配）吗？还是应该关注如何最好地服务一群人（宏观分配）？无论是税收资金还是医疗保险费，集中起来的资源总是有限的。宏观分配涉及权衡取舍和确定优先事项，但最终，资源配给是一项义务。
