Department of Government, University of Essex, UK.
Health Econ Policy Law. 2010 Apr;5(2):225-46. doi: 10.1017/S1744133109990211. Epub 2009 Sep 1.
During 2008, some forms of patient co-payments - in particular, patients paying privately for additional medicines as part of an episode of care in the National Health Service - became controversial in political and policy terms in the UK. In response, the UK Government published a report, the Richards' Review, examining the issues. Richards offered a particular policy solution, but also touched on fundamental principles of social value. Using the methods of normative policy analysis, we seek to understand these principles of social value, accepting the Richards' framework according to which the relevant arguments can be grouped under the broad headings of equity and autonomy. None of the arguments on either side are decisive, and, in part, the policy decision turns on uncertain empirical conjectures.
在 2008 年，英国国民保健制度中，患者需要自掏腰包支付部分医疗费用，特别是为额外药品付费，这在政治和政策方面引发了争议。针对这一情况，英国政府发布了一份报告，即理查德审查报告，对这些问题进行了审查。理查德提出了一个特殊的政策解决方案，但也触及了社会价值的基本原则。我们采用规范政策分析的方法，旨在理解这些社会价值原则，根据理查德的框架，将相关论点归入公平和自主这两个宽泛的标题下。双方的论点都没有决定性的优势，部分政策决策取决于不确定的经验推测。
