Maloney J V
Department of Surgery, UCLA School of Medicine 90024.
Med Prog Technol. 1988;14(3-4):109-14.
The contribution of technology to longevity and the quality of life has been substantial during the twentieth century. In the past two decades, technology employed in the care of hospitalized patients has been responsible for most of the cost by which the medical inflation rate (Medical Economic Index) exceeds the consumer price index. In most instances, the marginal benefit from the incremental cost is too small to be measured. If this viewpoint is correct, and if governments continue to contain medical costs, the future use of technology will be limited to those applications which have a clearly demonstrable marginal benefit associated with their incremental cost.
在二十世纪,技术对寿命延长和生活质量的贡献巨大。在过去二十年中,用于住院患者护理的技术已成为医疗通货膨胀率(医疗经济指数)超过消费者价格指数的大部分成本的原因。在大多数情况下,增量成本带来的边际收益小到难以衡量。如果这种观点正确,并且如果政府继续控制医疗成本,那么技术的未来应用将仅限于那些与其增量成本相关联且具有明显可证明的边际收益的应用。