Turakhia Puja, Combs Brandon
an associate professor of medicine at the University of Colorado School of Medicine in Aurora, Colorado, and a senior fellow for medical education at the Lown Institute.
AMA J Ethics. 2017 Nov 1;19(11):1125-1131. doi: 10.1001/journalofethics.2017.19.11.pfor1-1711.
Unlike goods, which are concrete and easily quantified, services are intangible processes that are produced and consumed concurrently. Health care is a service that can encourage optimal health outcomes only through meaningful, collaborative partnerships between patients and clinicians. Co-production of health services can be used as a means to rethink how health care is delivered not only in the context of face-to-face encounters in which the benefits of working together are obvious, but also in designing systems that can improve patient care and enhance value.
与具体且易于量化的商品不同，服务是无形的过程，是在生产的同时被消费。医疗保健是一种只有通过患者与临床医生之间有意义的合作关系才能促进实现最佳健康结果的服务。卫生服务的共同生产可作为一种手段，不仅在面对面接触（其中合作的益处显而易见）的背景下重新思考医疗保健的提供方式，而且在设计能够改善患者护理并提升价值的系统时也可如此。
