Balfe B E, Boyle J F, Brocki S J, Lane K R
JAMA. 1985 Nov 1;254(17):2440-8.
The growing complexity of the health care sector demands a comprehensive framework for the long-term direction of health care policy. To this end, a Health Policy Agenda for the American People was initiated in 1982. Phase I of this two-phase project ended in May 1984 and produced 159 principles and 41 issues covering a wide spectrum of health care concerns. During Phase II, presently under way, policy proposals are being developed that respond to these issues and are consistent with the principles. The principles constitute the basis for policy development and include statements about equity, individual and professional rights and responsibilities, the role of government, and the quality and cost of health care. In addition to their use in the development of the agenda, the principles are being used by participating organizations in their own policy development activities.
医疗保健行业日益复杂,这就需要一个全面的框架来指导医疗保健政策的长期方向。为此,1982年启动了《美国人民健康政策议程》。这个两阶段项目的第一阶段于1984年5月结束,产生了159项原则和41个问题,涵盖了广泛的医疗保健问题。目前正在进行的第二阶段,正在制定应对这些问题并符合这些原则的政策提案。这些原则构成了政策制定的基础,包括关于公平、个人和专业权利与责任、政府作用以及医疗保健质量和成本的声明。除了用于议程制定外,这些原则还被参与组织用于自身的政策制定活动。