Niechzial M, Nagel E, Pichlmayr R
Klinik für Abdominal- und Transplantationschirurgie, Medizinische Hochschule, Hannover.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:617-24.
Given limited resources in health care, effectiveness and efficiency of medical procedures have to be evaluated logically. Rational decision making for resource allocation in health care services is based on medical, ethical and economic aspects. Systematic observation and query of medical procedures regarding their results delivers important data to this discussion. This study on kidney and liver transplantation serves as a model, transferable to other domains of health care services, and describes the most essential questions of evaluation research: When is the medical procedure necessary, reasonable and justified? How can the quality of treatment be described and guaranteed? What represents utility in quantitative and qualitative terms?
鉴于医疗保健资源有限，必须合理评估医疗程序的有效性和效率。医疗保健服务中资源分配的合理决策基于医学、伦理和经济方面。对医疗程序结果进行系统观察和询问可为这一讨论提供重要数据。这项关于肾移植和肝移植的研究可作为一个模型，应用于医疗保健服务的其他领域，并描述了评估研究中最基本的问题：医疗程序何时是必要的、合理的和正当的？如何描述和保证治疗质量？在定量和定性方面，什么代表效用？
