Reid Lynette
Department of Bioethics, Dalhousie University, PO Box 15000, Halifax, NS, B3H 4R2, Canada.
Health Care Anal. 2017 Jun;25(2):107-113. doi: 10.1007/s10728-016-0338-y.
Systems of universal health coverage may aspire to provide care based on need and not ability to pay; the complexities of this aspiration (conceptual, practical, and ethical) call for normative analysis. This special issue arises in the wake of a judicial inquiry into preferential access in the Canadian province of Alberta, the Vertes Commission. I describe this inquiry and set out a taxonomy of forms of differential and preferential access. Papers in this special issue focus on the conceptual specification of health system boundaries (the concept of medical need) and on the normative questions raised by complex models of funding and delivery of care, where patients, providers, and services cross system boundaries.
全民健康覆盖体系可能旨在根据需求而非支付能力提供医疗服务；这一目标（概念、实践和伦理方面）的复杂性需要进行规范性分析。本期特刊是在加拿大艾伯塔省针对优先获得医疗服务展开司法调查（韦尔特斯委员会）之后产生的。我将介绍此次调查，并列出差别性和优先性医疗服务获取形式的分类。本期特刊中的论文聚焦于卫生系统边界的概念界定（医疗需求概念）以及由复杂的医疗资金筹集和服务提供模式引发的规范性问题，在这些模式中，患者、提供者和服务跨越了系统边界。
