Columbia University.
J Health Polit Policy Law. 2013 Dec;38(6):1071-9. doi: 10.1215/03616878-2373139. Epub 2013 Aug 23.
The development of professional policy analysis was driven by a desire to apply "science" to policy decisions, but the vision of apolitical policy analysis is as unattainable today as it was at the inception of the field. While there is powerful evidence that schemes to "get around" politics are futile, they never seem to lose their popularity. The contemporary enthusiasm for health technology assessment and comparative-effectiveness research extends these efforts to find technical, bureaucratic fixes to the problem of health care costs. As the benefits and costs of health care continue to grow, so too will the search for analytic evidence and insights. It is important to recognize that the goal of these efforts should not be to eliminate but rather to enrich political deliberations that govern what societies pay for and get from their health care systems.
专业政策分析的发展是出于将“科学”应用于政策决策的愿望，但今天，正如该领域创立之初一样，实现非政治化政策分析的愿景是遥不可及的。虽然有强有力的证据表明，试图“规避”政治的做法是徒劳的，但它们似乎从未失去过人气。当前，人们热衷于进行卫生技术评估和比较效果研究，这使得人们试图寻找技术性、官僚性的解决方案来解决医疗成本问题。随着医疗保健的收益和成本不断增加，对分析证据和见解的需求也将不断增加。重要的是要认识到，这些努力的目标不应该是消除政治审议，而是要丰富政治审议，从而决定社会为其医疗保健系统支付的费用和获得的收益。
