Borchert G
Bergische Universität, Gesamthochschule Wuppertal.
Gesundheitswesen. 1997 Apr;59(4):223-5.
The rules and regulations of the health system reflect the basic ideas of the health system itself. Taking a closer look at the regulations, we encounter the increasingly dominating idea of autonomous responsibility of the health services' clients. On the other hand, however, we find many regulations that express the lack of confidence in the health consumer's ability to make proper judgements regarding offers made by certain health providers. Thus, the whole health system is as ambivalent as the whole society. Today, no profound basic ideas seem to exist, with one exception: the economic power over the demands of most of the people.
卫生系统的规章制度反映了卫生系统本身的基本理念。仔细审视这些规章制度,我们会遇到卫生服务消费者自主责任这一日益占主导地位的理念。然而,另一方面,我们也发现许多规章制度表明对卫生消费者就某些卫生服务提供者所提供的服务做出恰当判断的能力缺乏信心。因此,整个卫生系统与整个社会一样充满矛盾。如今,似乎不存在深刻的基本理念,只有一个例外:对大多数人需求的经济掌控力。