Vilardell F
School of Gastroenterology, Hospital de la Santa Cruz y San Pablo, Barcelona, Spain.
Bull Pan Am Health Organ. 1990;24(4):379-85.
The high cost of new diagnostic and treatment technologies means that they have to be used selectively, and at that point decisions must be made about who should get to use them. In recent years there have been increasing charges of improper use of these new technologies, coupled with increasing discussion of their costs and benefits. Unfortunately, the use of such technology tends to spread indiscriminately and so add indiscriminately to health care costs. Given this situation, there is a need to examine the relevance of new diagnostic and treatment methods, the causes of technological abuse, the ethical aspects of the use of medical technology, and even the relationship between technology and society. Indeed, if there is to be generally effective acquisition and use of health care resources, such examination is essential.
新诊断和治疗技术的高昂成本意味着必须有选择地使用它们,届时必须就谁应该使用这些技术做出决定。近年来,对这些新技术使用不当的指责越来越多,同时对其成本和效益的讨论也越来越多。不幸的是,此类技术的使用往往不加区分地扩散,从而不加区分地增加了医疗保健成本。鉴于这种情况,有必要审视新诊断和治疗方法的相关性、技术滥用的原因、医疗技术使用的伦理问题,甚至技术与社会之间的关系。事实上,若要普遍有效地获取和使用医疗保健资源,这种审视至关重要。