Can Fam Physician. 1990 Feb;36:283-9.
The authors suggest that more attention must be paid to acting on information about the effectiveness of diagnostic and therapeutic procedures, their cost-effectiveness, and their net benefit to Canadians. Canadian health professionals and policy-makers must translate information on ineffective procedures, poor use of effective procedures, and the relative cost of services delivered in different settings by different personnel into changes in use levels and patterns. Another challenge, which involves the general public as well, is to achieve an informed social consensus about the level of health care spending and its distribution across types of services. Education of Canadians, including health professionals, is needed so that they can contribute responsibly and effectively to this change.
作者们认为，必须更加重视针对有关诊断和治疗程序的有效性、成本效益以及对加拿大国民的净收益的信息采取行动。加拿大卫生专业人员和决策者必须将有关无效程序、低效使用有效程序以及在不同环境中由不同人员提供的服务的相对成本的信息转化为使用水平和模式的变化。另一个挑战是，需要让普通公众参与进来，就医疗保健支出水平及其在各种服务类型之间的分配达成明智的社会共识。需要对加拿大人进行教育，包括对卫生专业人员进行教育，以便他们能够负责任地并有效地为这种变革做出贡献。
