Gustavsson Erik
Division of Health and Society, Department of Medical and Health Sciences, Linköping University, 581 83, Linköping, Sweden,
Health Care Anal. 2014 Mar;22(1):22-35. doi: 10.1007/s10728-013-0241-8.
One generally considered plausible way to allocate resources in health care is according to people's needs. In this paper I focus on a somewhat overlooked issue, that is the conceptual structure of health care needs. It is argued that what conceptual understanding of needs one has is decisive in the assessment of what qualifies as a health care need and what does not. The aim for this paper is a clarification of the concept of health care need with a starting point in the general philosophical discussion about needs. I outline three approaches to the concept of need and argue that they all share the same conceptual underpinnings. The concept of need is then analyzed in terms of a subject x needing some object y in order to achieve some goal z. I then discuss the relevant features of the object y and the goal z which make a given need qualify as a health care need and not just a need for anything.
在医疗保健领域，一种普遍被认为合理的资源分配方式是根据人们的需求。在本文中，我关注一个 somewhat 被忽视的问题，即医疗保健需求的概念结构。有人认为，对需求的概念理解在评估什么符合医疗保健需求以及什么不符合方面起着决定性作用。本文的目的是从关于需求的一般哲学讨论出发，澄清医疗保健需求的概念。我概述了三种需求概念的方法，并认为它们都具有相同的概念基础。需求概念随后根据主体x为了实现某个目标z而需要某个对象y来进行分析。然后，我讨论对象y和目标z的相关特征，这些特征使特定需求成为医疗保健需求，而不仅仅是对任何事物的需求。
