Modell B, Kuliev A M
Department of Obstetrics and Gynaecology, University College London, UK.
Trends Genet. 1993 Feb;9(2):46-52. doi: 10.1016/0168-9525(93)90186-L.
Economic appraisal of genetics services is important, but, in this sensitive area, analyses limited to financial aspects understandably cause public concern. Evaluation of these services must take account of their aim of helping everyone with a genetic disadvantage to live and reproduce as normally as possible, and must apply equally to patients and to couples at risk of having affected children. Here we propose that the classical concept of genetic fitness can be useful in evaluating genetics services, because it is measurable, and truly represents their underlying aim.
遗传学服务的经济评估很重要，但在这个敏感领域，仅局限于财务方面的分析引起公众担忧是可以理解的。对这些服务的评估必须考虑到它们旨在帮助每一个有遗传缺陷的人尽可能正常地生活和生育，并且必须同样适用于患者以及有生育患病子女风险的夫妇。在此我们提出，经典的遗传适应性概念在评估遗传学服务时可能有用，因为它是可衡量的，并且真正代表了这些服务的根本目标。
