Lenfant C, Roccella E J
National Heart, Lung, and Blood Institute, Bethesda, Maryland 20892.
Health Rep. 1994;6(1):216-23.
As the national movement for health care reform gives priority to activities that will achieve better and more efficient delivery of health care services, the cost-effectiveness of services will need to be calculated in some type of standard fashion. Although the cost-effectiveness of preventing and controlling acute diseases (for example, through mass immunization programs) has been well appreciated, less attention has been paid to the chronic diseases, which, in fact, account for the majority of illness and death in the United States today. This paper uses prevention of a common chronic disease, stroke, as a model to illustrate how cost savings measures may be developed and used to guide public policy.
随着全国医疗保健改革运动将重点放在能够实现更优质、更高效医疗服务的活动上，医疗服务的成本效益需要以某种标准方式进行计算。尽管预防和控制急性疾病（例如通过大规模免疫计划）的成本效益已得到充分认识，但对慢性病的关注较少，而事实上，慢性病在美国当今的疾病和死亡中占大多数。本文以预防一种常见慢性病——中风为例，来说明如何制定和利用成本节约措施来指导公共政策。
