Barr D A, Fenton L, Blane D
Glasgow Royal Infirmary, 84 Castle Street, Glasgow G4 0SF, UK.
J Med Ethics. 2008 Apr;34(4):271-4. doi: 10.1136/jme.2006.019570.
Recently, commentators close to and within the UK government have claimed that patient choice can increase equity in the context of the National Health Service. This article critically examines the basis for this claim through analysis of recent speeches and publications authored by secretaries of state for health and their policy advisers. It is concluded that this claim has not developed prospectively from an analysis of the causes of healthcare inequity, or even with a consistent normative definition of equity. The limited justification that is "framed in causal explanations" of inequity has suffered from an apparent disregard of the available evidence.
最近，英国政府内部及亲近政府的评论家们宣称，在国民医疗服务体系的背景下，患者选择能够增进公平性。本文通过分析英国卫生大臣及其政策顾问近期发表的演讲和出版物，对这一说法的依据进行了批判性审视。结论是，这一说法并非基于对医疗保健不公平现象成因的前瞻性分析得出，甚至也没有一个关于公平性的一致规范性定义。那些“以对不公平现象的因果解释为框架”的有限理由，显然忽视了现有证据。
