McGuire T G
Department of Economics, College of Liberal Arts, Boston, MA 02215, USA.
Soc Psychiatry Psychiatr Epidemiol. 1995 Aug;30(5):240-3. doi: 10.1007/BF00789061.
The effectiveness of treatment for depression is not in doubt, and common humanity would indicate that it should be provided to those that need it. However, in this paper I argue that the existence of effective treatment should not be regarded as a sufficient condition for the extension of insurance cover. This is because insurance coverage cannot guarantee that treatment is delivered effectively, nor that it is given to the right people; neither does it lend itself to the maximization of cost-effectiveness. Payment systems must take account of these considerations.
抑郁症治疗的有效性毋庸置疑，出于基本的人道精神，应该为有需要的人提供治疗。然而，在本文中我认为，有效治疗方法的存在不应被视为扩大保险覆盖范围的充分条件。这是因为保险覆盖并不能保证治疗能够有效实施，也不能保证治疗对象正确；它也无法实现成本效益的最大化。支付系统必须考虑到这些因素。
