Gill D G, Ingman S R, Campbell J
Department of Sociology, University of Maryland, Baltimore County 21228.
Soc Sci Med. 1991;32(5):565-77. doi: 10.1016/0277-9536(91)90292-k.
Considerations of distributive justice impacting upon the provision of geriatric care and the treatment of patients with end stage renal disease (ESRD) are compared and contrasted between the U.S. and the U.K. Comparisons are drawn from differing degrees of individualist and collectivist idealogies between the two countries and analysis is further developed through use of the concepts of equity, uniformity and public accountability. Notwithstanding the predominance of an individualist ideology in the United States the provision of ESRD services is based on a collectivist format. Geriatric care and other welfare services more directly reflect the differences between collectivist and individualist ideologies in the two countries.
本文比较并对比了美国和英国在分配正义方面对老年护理服务提供以及终末期肾病（ESRD）患者治疗的影响。比较基于两国个人主义和集体主义意识形态的不同程度，并通过公平、统一和公共问责等概念进一步展开分析。尽管美国以个人主义意识形态为主导，但ESRD服务的提供却是基于集体主义模式。老年护理和其他福利服务更直接地反映了两国集体主义和个人主义意识形态之间的差异。
