Dicker A, Armstrong D
Department of Public Health Medicine, United Medical and Dental School, London.
BMJ. 1995 Oct 28;311(7013):1137-9. doi: 10.1136/bmj.311.7013.1137.
To explore the assumptions underlying consumers' responses to questions of resource priorities in the NHS.
Qualitative analysis of semi-structured interviews with a heterogeneous sample of 16 patients drawn from a general practice.
Interviewees were not persuaded that they had a legitimate role to play in the prioritisation of services. They supported the principle of equity and were reluctant to use their own personal needs as a basis for resource allocation; instead they argued from what they perceived to be the needs of others.
Paradoxically, surveys of consumers' views on health care priorities probably do not elicit the personal ideas of respondents but tap into a more general ideological position closer to an earlier collectivist notion of health care.
探讨国民保健制度（NHS）中消费者对资源优先性问题作出回应背后的假设。
对从一家普通诊所抽取的16名患者的异质性样本进行半结构化访谈的定性分析。
受访者不认为自己在服务优先排序中应发挥合理作用。他们支持公平原则，不愿将自身个人需求作为资源分配的依据；相反，他们从自己所认为的他人需求出发进行论证。
矛盾的是，关于消费者对医疗保健优先性看法的调查可能并未引出受访者的个人想法，而是触及了一种更普遍的意识形态立场，这种立场更接近于早期医疗保健的集体主义观念。
