缺乏合理性的获取：杞人忧天者掌权？
Access without Appropriateness: Chicken Little in Charge?
作者信息
Deber Raisa B
机构信息
Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.
出版信息
Healthc Policy. 2008 Aug;4(1):23-9.
Abstract
Health policy makers in Canada have swung between the twin poles of ensuring access and controlling costs. Recently, access has dominated. Reconciling these opposing ideals, rather than alternating between them, requires adding the concept of appropriateness, and recognizing that rapid access to unneeded care may do more harm than good. Several examples are given of resources wasted (and side effects endured) through inappropriate use, and a few modest suggestions for improvement are made.
摘要
加拿大的卫生政策制定者一直在确保医疗服务可及性和控制成本这两个极端之间摇摆不定。近来，可及性占据了主导地位。要协调这两种相悖的理念，而不是在它们之间交替，需要引入适宜性概念，并认识到快速获得不必要的医疗服务可能弊大于利。文中给出了一些因不恰当使用而造成资源浪费（以及承受副作用）的例子，并提出了一些适度的改进建议。
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