Parker D, Newbrander W
Office of Social Policy and Economic Analysis, UNICEF, New York, NY 10017.
World Health Forum. 1994;15(2):107-13; discussion 114-31.
Governments and the public are concerned about waste and inefficiency in the health sector. Although there are likely to be various underlying causes, wastage often results from limited information and from limited accountability for decisions about the use of resources. Corruption and fraud occur where there are conflicting interests in combination with limited accountability. Policy-makers, managers, providers and service users should feel responsible for ensuring that scare health resources are used efficiently. They should actively combat wastage by identifying the causes, and then make corresponding changes in policy, management and technical procedures.
政府和公众都对卫生部门的浪费和低效率问题表示关切。尽管可能存在各种潜在原因，但浪费往往源于信息有限以及对资源使用决策的问责制有限。在存在利益冲突且问责制有限的情况下，就会发生腐败和欺诈行为。政策制定者、管理人员、提供者和服务使用者都应肩负起责任，确保稀缺的卫生资源得到有效利用。他们应通过找出问题根源来积极打击浪费现象，然后在政策、管理和技术程序方面做出相应改变。
