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社会价值与健康政策:一项新的国际研究计划。

Social values and health policy: a new international research programme.

出版信息

J Health Organ Manag. 2012;26(3):285-92. doi: 10.1108/14777261211238945.

Abstract

PURPOSE

This editorial aims to outline the context of healthcare priority-setting, and summarise each of the other ten papers in this special edition. It introduces a new multidisciplinary research programme drawing on ethics, philosophy, health economics, political science and health technology assessment, out of which the papers in this edition have arisen.

DESIGN/METHODOLOGY/APPROACH: Key normative concepts are introduced and policy and research context provided to frame subsequent papers in the edition.

FINDINGS

Common challenges of health priority-setting are faced by many countries across the world, and a range of social value judgments is in play as resource allocation decisions are made. Although the challenges faced by different countries are in many ways similar, the way in which social values affect the processes and content of priority-setting decisions means that those challenges are resolved very differently in a variety of social, political, cultural and institutional settings, as subsequent papers in this edition demonstrate. How social values affect decision making in this way is the subject of a new multi-disciplinary research programme.

ORIGINALITY/VALUE: Technical analyses of health priority setting are commonplace, but approaching the issues from the perspective of social values and conducting comparative analyses across countries with very different cultural, social and institutional contexts provides the content for a new research agenda.

摘要

目的

本社论旨在概述医疗保健优先事项设定的背景,并总结本期特刊中的其他十篇论文。它介绍了一个新的多学科研究计划,该计划借鉴了伦理学、哲学、健康经济学、政治学和健康技术评估,本期特刊中的论文就是由此产生的。

设计/方法/方法:引入关键规范概念,并提供政策和研究背景,为本期特刊中的后续论文提供框架。

发现

世界上许多国家都面临着共同的卫生优先事项设定挑战,并且在做出资源分配决策时,各种社会价值判断都在发挥作用。尽管不同国家面临的挑战在许多方面相似,但由于社会价值影响优先事项设定决策的过程和内容,因此这些挑战在各种社会、政治、文化和制度环境中以非常不同的方式得到解决,正如本期特刊中的后续论文所表明的那样。社会价值以这种方式影响决策是一个新的多学科研究计划的主题。

原创性/价值:对卫生优先事项设置的技术分析很常见,但从社会价值的角度出发,对具有非常不同文化、社会和制度背景的国家进行比较分析,为新的研究议程提供了内容。

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