Mooney G
Theor Med. 1989 Sep;10(3):195-205. doi: 10.1007/BF00489438.
Effectiveness, efficiency and equity in health care are discussed in this article against the background of concerns that 'cost containment' may lead to reductions in quality of care. It is suggested that effectiveness is best seen from the patient's point of view and that it relates to more than simply improved health status. Efficiency and equity are better viewed from a societal stance. The paper discusses the role of the medical profession in effectiveness, efficiency and equity and argues that the role of medical doctors needs to be constrained.
本文在人们担心“成本控制”可能导致医疗质量下降的背景下,讨论了医疗保健中的有效性、效率和公平性。有人认为,有效性最好从患者的角度来看待,它不仅仅关乎健康状况的改善。效率和公平性从社会立场来看则更为恰当。本文讨论了医疗行业在有效性、效率和公平性方面的作用,并认为医生的角色需要受到限制。