Godber E, Robinson R, Steiner A
Institute for Health Policy Studies, University of Southampton, UK.
Health Econ. 1997 May-Jun;6(3):275-94. doi: 10.1002/(sici)1099-1050(199705)6:3<275::aid-hec255>3.0.co;2-2.
Current UK government policy places considerable emphasis on shifting the balance of health care provision from secondary towards primary care. Despite this emphasis, however, there has been very little economic evaluation of initiatives designed to achieve this shift. In view of this deficiency, our article has three main aims. First, it offers a working definition of shifts in the balance of care at the primary-secondary care interface. Second, it systematically reviews the existing literature on the cost-effectiveness of initiatives designed to shift the balance of care. Third, it identifies a range of methodological issues that need to be addressed if future economic evaluations in this area are to be carried out satisfactorily.
英国现行政府政策非常强调将医疗保健服务的重心从二级医疗转向初级医疗。然而，尽管有此强调，但对于旨在实现这一转变的举措，却很少有经济评估。鉴于这一不足，我们的文章有三个主要目标。第一，它给出了初级医疗与二级医疗衔接处医疗平衡转变的实用定义。第二，它系统回顾了关于旨在改变医疗平衡的举措的成本效益的现有文献。第三，它指出了如果要在该领域令人满意地开展未来的经济评估，一系列需要解决的方法学问题。
