Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.
Arts and Social Sciences, University of New South Wales, Sydney, New South Wales, Australia.
Intern Med J. 2019 Nov;49(11):1364-1367. doi: 10.1111/imj.14461.
Public policy decisions about patients' access to limited healthcare resources must be defensible and responsive to the interests of those affected. Decision-makers should articulate their reasoning and recommendations so that citizens can judge them. While the context of policy decisions will differ, their legitimacy depends upon the transparency of the reasoning, the accountability of the decision-makers, the testability of the evidence used to inform the decision-making and the inclusive recognition of those the decision affects. An example of applying this framework to resource allocation is that of approving effective high-cost anticancer drugs in a timely fashion.
关于患者获得有限医疗资源的公共政策决策必须是有辩护能力的，并对受影响者的利益做出回应。决策者应该阐明他们的推理和建议，以便公民可以对其进行评判。虽然政策决策的背景会有所不同，但它们的合法性取决于推理的透明度、决策者的问责制、用于为决策提供信息的证据的可检验性以及对受决策影响的人的包容性认可。将这一框架应用于资源分配的一个例子是及时批准有效的高成本抗癌药物。
