Fisher M M, Raper R F
Royal North Shore Hospital, St Leonards, NSW.
Med J Aust. 1990 Aug 20;153(4):217-20. doi: 10.5694/j.1326-5377.1990.tb136864.x.
Intensive care is an expensive resource. The medical profession has been criticised for applying technology indiscriminately and at vast expense to a relatively small group of patients. The desire of governments to reduce the cost of health care has made rationing of health services a topic of open discussion rather than an implicit activity as it has been in the past. The appropriate response of doctors to these problems is to provide leadership in promoting public awareness and debate of the effects of rationing, and to provide rational allocation of therapy to individual patients. The major issues involving resource allocation in society and to individuals are discussed.
重症监护是一种昂贵的资源。医学界因不加区分且耗费巨资地将技术应用于相对少数的患者而受到批评。政府降低医疗保健成本的愿望使得医疗服务配给成为一个公开讨论的话题，而非像过去那样是一种隐性活动。医生对这些问题的恰当回应是在提高公众对配给影响的认识和促进相关辩论方面发挥引领作用，并为个体患者合理分配治疗。文中讨论了社会和个体层面涉及资源分配的主要问题。
