Fox D M
Milbank Mem Fund Q Health Soc. 1979 Summer;57(3):297-336.
During the first half of this century economists who studied health care were primarily concerned with reducing the financial burden of illness and making services more accessible. In recent decades, "scholarly research" by professional economists has become characterized by the exchange of social advocacy for scientific neutrality. Historical analysis of the assumptions underlying this shift--assumptions about the worth of resources and alternative ways to allocate resources--shows parallel changes in other social sciences and medicine. As commitment to reform is tempered by relativism, scientific inquiry may benefit at the cost of social justice.
在本世纪上半叶，研究医疗保健的经济学家主要关注减轻疾病的经济负担并使服务更易获得。近几十年来，专业经济学家的“学术研究”已呈现出以社会倡导取代科学中立性的特征。对这一转变背后假设的历史分析——关于资源价值和资源分配替代方式的假设——表明其他社会科学和医学也有类似变化。由于对改革的承诺因相对主义而有所缓和，科学探究可能以社会正义为代价而受益。
