Eisenberg L
Department of Social Medicine and Health Policy, Harvard Medical School, Boston, MA 02115.
Br J Psychiatry. 1988 Jul;153:21-9. doi: 10.1192/bjp.153.1.21.
The rationale upon which public policy for the support of psychiatric research has been fashioned and the extent to which the results of that research are used to shape public mental-health policy are examined. Support for research competes with other claims for resource allocation and the decisions made reflect the relative strength of the interested constituencies. When research findings promise cost savings, they are readily adopted (sometimes unwisely so), but when they require substantial new outlays or changes in bureaucratic agencies, they are all too often ignored.
本文探讨了制定支持精神病学研究的公共政策所依据的基本原理,以及该研究成果在塑造公共心理健康政策方面的应用程度。对研究的支持与其他资源分配需求相互竞争,所做出的决策反映了相关利益群体的相对影响力。当研究结果有望节省成本时,它们很容易被采纳(有时是不明智地采纳),但当这些结果需要大量新的支出或官僚机构做出改变时,它们往往就会被忽视。