Golenski J D, Thompson S M
Bioethics Consultation Group, Inc., Berkeley, California 94710.
QRB Qual Rev Bull. 1991 May;17(5):144-9. doi: 10.1016/s0097-5990(16)30445-6.
The state of Oregon has led the nation in creating legislation to guarantee universal access by establishing medical and funding priorities in a basic health care package. A preliminary prioritization project--known as the Oregon Medicaid Priority-Setting Project or the Golenski project--served as a "dry run" for Oregon's Basic Health Services Act passed in 1989. A list of 15 public policy principles developed from data gathered from citizen surveys was used as guide for participants in setting priorities. Oregon's pioneering attempt at creating a health care package using prioritization must be seen in the context of the state's particular democratic traditions.
俄勒冈州在制定法规以确保全民可及性方面走在了全国前列，它通过在基本医疗保健套餐中确立医疗和资金优先事项来实现这一目标。一个初步的优先排序项目——即俄勒冈医疗补助优先排序项目或戈伦斯基项目——为1989年通过的俄勒冈州《基本医疗服务法案》进行了一次“预演”。从公民调查收集的数据中得出的15项公共政策原则清单，被用作参与者确定优先事项的指南。俄勒冈州利用优先排序来创建医疗保健套餐的开创性尝试，必须结合该州独特的民主传统来审视。
