Andreae C A, Theurl E
Institut für Finanzwissenschaft, Universität Innsbruck.
Wien Med Wochenschr. 1989 Oct 31;139(19-20):477-84.
The application of economic rules of allocation to tragic situations, which are often given in the health care system, is confronted with the problem, that economic decision rules normally follow an act-consequential ethic while medical decision rules have a strong affinity to a result-consequential ethic. The limited willing-ness-to-pay for health care leads to the necessity to use economic rules of resource allocation both on a global and on a personal level. But differences in the structure of the decision call for different rules of resource allocation. On a global level the allocation rule should be dominated by economic efficiency, while on a personal level the allocation rule should be guided by ideas of equity and fairness.
将经济分配规则应用于医疗保健系统中经常出现的悲剧性情况时，会面临这样一个问题：经济决策规则通常遵循行为后果伦理，而医疗决策规则与结果后果伦理有很强的相似性。医疗保健支付意愿的有限性导致在全球和个人层面都有必要使用经济资源分配规则。但是决策结构的差异需要不同的资源分配规则。在全球层面，分配规则应以经济效率为主导，而在个人层面，分配规则应以公平和平等理念为指导。
