Mills A
Health Economics and Financing Programme, London School of Hygiene and Tropical Medicine, UK.
Trop Med Int Health. 1997 Oct;2(10):963-77. doi: 10.1046/j.1365-3156.1997.d01-159.x.
Over the last 25 years the discipline of health economics has developed substantially. As an applied discipline, it has adapted and changed over time in response to the changing concerns of policy-makers, planners and managers. This paper questions whether it is like a chameleon, changing its appearance in response to the external environment, or like the leopard that never changes its spots. In answering the question, the paper presents an overview of the development of health economics as it has been applied in low and middle income countries distinguishing three eras, the 1970s, 1980s, and 1990s, and argues that in each of these eras the preoccupations of health economists have been somewhat different. In each era the key contributions of health economics are identified. The paper ends by considering future research priorities, and the obligations of developed country institutions in terms of research topics and mode of work.
在过去25年里，卫生经济学学科有了长足发展。作为一门应用学科，它随着时间的推移，根据政策制定者、规划者和管理者不断变化的关注点进行了调整和改变。本文探讨它是像变色龙一样根据外部环境改变自身形象，还是像本性难移的豹。在回答这个问题时，本文概述了卫生经济学在低收入和中等收入国家的应用发展情况，区分了三个时代，即20世纪70年代、80年代和90年代，并认为在每个时代卫生经济学家关注的重点都有所不同。在每个时代都确定了卫生经济学的关键贡献。本文最后考虑了未来的研究重点，以及发达国家机构在研究课题和工作方式方面的义务。
