Lauterbach K W
Instituts für Gesundheitsökonomie, Medizin und Gesellschaft.
Z Arztl Fortbild Qualitatssich. 1997 Jun;91(3):277-82.
The introduction of guidelines for diagnosis and therapy involves consequences for medical care which have to be considered both from the perspective of health economics and ethics. Four competing goals of guidelines can be distinguished which are discussed in this paper regarding their economic and ethical plausibility. Guidelines illustrate the fundamental potential and problems of microeconomic evaluations. The strength of these methods is to pursue well defined goals in health economics reliably and efficiently. Problems usually arise if there is no agreement on accepting these goals. The paper intends to show that important theories of a just distribution of health care resources arrive at different goals for guidelines, and recommendations are given to deal with this disagreement.
诊断和治疗指南的引入会给医疗保健带来一些后果，必须从卫生经济学和伦理学的角度加以考虑。可以区分出指南的四个相互竞争的目标，本文将从经济和伦理合理性方面对其进行讨论。指南阐明了微观经济评估的基本潜力和问题。这些方法的优势在于能够可靠且高效地追求卫生经济学中明确界定的目标。如果在接受这些目标方面无法达成共识，通常就会出现问题。本文旨在表明，关于医疗保健资源公正分配的重要理论会得出不同的指南目标，并针对这种分歧给出了建议。
