Gray C
CMAJ. 1995 Jun 15;152(12):2029-32.
The Ottawa Heart Institute, the site of more than 200 heart-transplant procedures since 1984, is preparing for the retirement of its founder, Dr. Wilbert Keon, in 2001. The institute has developed a national and international reputation, but also faces the same funding challenges as other Canadian health care facilities. Although the cost of the institute's high-tech procedures is challenged by some, Keon makes no apologies. "I haven't the slightest problem rationalizing what we do here," he says. "There are many areas in our health care system that should be tightened up before we cut services with demonstrable benefits." He also thinks there might be room for private care within Canada's publicly funded system.
渥太华心脏研究所自1984年以来已进行了200多例心脏移植手术,目前正为其创始人威尔伯特·基翁博士2001年退休做准备。该研究所已在国内外赢得声誉,但也面临着与加拿大其他医疗保健机构同样的资金挑战。尽管该研究所高科技手术的成本受到一些人的质疑,但基翁并不为此道歉。他说:“我对我们在这里所做的事情完全问心无愧。在我们削减具有明显益处的服务之前,我们医疗保健系统中的许多领域都应该加以改进。”他还认为,在加拿大公共资助的医疗体系内可能存在私人医疗服务的空间。