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[医疗保健资源分配优先级设定与配给中的民主制度设计]

[Democratic institutional design in health care priority setting and rationing].

作者信息

Landwehr Claudia

机构信息

Institut für Politikwissenschaft, Johannes Gutenberg Universität Mainz.

出版信息

Z Evid Fortbild Qual Gesundhwes. 2012;106(6):407-11. doi: 10.1016/j.zefq.2012.06.004. Epub 2012 Jun 28.

Abstract

Decisions on priority setting and rationing in health care have both informational and distributional aspects, which is why they require expert knowledge and specialised bodies on the one hand and democratic consent on the other hand. The paper presents normative criteria for the evaluation and empirical categories for the description and comparison of respective bodies. As procedural decisions always have implications for resulting distributional decisions, the bodies charged with priority setting and rationing decisions must be subject to democratic institutional design. (As supplied by publisher).

摘要

医疗保健领域中关于确定优先次序和资源分配的决策具有信息和分配两个方面,这就是为什么一方面它们需要专业知识和专门机构,另一方面需要民主同意。本文提出了用于评估的规范性标准以及用于描述和比较各机构的实证类别。由于程序决策总是会对最终的分配决策产生影响,负责确定优先次序和资源分配决策的机构必须接受民主的制度设计。(由出版商提供)

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