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医疗保健资源分配价值基础中的包容性。

Inclusiveness in the value base for health care resource allocation.

作者信息

Wiseman Virginia L

机构信息

London School of Hygiene and Tropical Medicine, UK; University of New South Wales, Australia.

出版信息

Soc Sci Med. 2014 May;108:252-6. doi: 10.1016/j.socscimed.2014.01.028. Epub 2014 Feb 5.

Abstract

This paper provides an overview of Mooney's contributions to the use of community values in priority setting and resource allocation in health care. It focuses on his 'communitarian claims' perspective and highlights how moral arguments for community involvement can be translated into specific processes needed to implement this approach in practice. Different examples of where Mooney sought to define and measure the constituents of claims and their relative importance in relation to equity in resource allocation are discussed. The paper also highlights challenges around the weighing up of claims and the elicitation of community preferences, many of which were acknowledged and debated by Mooney himself.

摘要

本文概述了穆尼在医疗保健的优先事项设定和资源分配中运用社区价值观方面所做的贡献。它聚焦于他的“社群主义主张”视角,并强调了支持社区参与的道德论据如何能够转化为在实践中实施这种方法所需的具体流程。文中讨论了穆尼试图界定和衡量主张的构成要素及其在资源分配公平性方面相对重要性的不同实例。本文还突出了在权衡主张和引出社区偏好方面存在的挑战,其中许多挑战穆尼本人也已认识到并进行了探讨。

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