Penchas S
Isr J Med Sci. 1986 Mar-Apr;22(3-4):201-2.
Existing priorities for the provision of health care are increasingly seen to be arbitrary and inequitable. The informed public in developed countries is demanding a rational, consistent and responsible program for the apportioning of health resources, both in their own and in Third World nations. An evaluation methodology is proposed for measuring the main aspects of a nation's health. It is based on a flowchart of averaged, relative, weighted, multiple parameters, each comprised of the elements of technology. It is designed as an objective system--superseding former weighting processes, which were influenced by ambition, prestige, prejudice and narrow politics--and has sufficient flexibility to accommodate both the anticipated and the unforeseen.
现有的医疗保健资源分配重点越来越被视为随意且不公平的。发达国家中见多识广的公众要求制定一个合理、连贯且负责的计划,用于在本国和第三世界国家分配卫生资源。本文提出了一种评估方法,用于衡量一个国家卫生状况的主要方面。该方法基于一个由平均、相对、加权的多个参数组成的流程图,每个参数都由技术要素构成。它被设计为一个客观系统——取代了以前受野心、声望、偏见和狭隘政治影响的加权过程——并且具有足够的灵活性,能够适应预期和意外情况。