Power E J, Eisenberg J M
Agency for Health Care Policy and Research, US Department of Health and Human Services, Rockville, Maryland 20852, USA.
Med Care. 1998 May;36(5 Suppl):MS10-147. doi: 10.1097/00005650-199805001-00002.
The dominance of managed care as an organizing principle for health care delivery suggests that cost-effectiveness analysis (CEA) may be applied increasingly to decision-making at all levels. Health services researchers now need to address questions of how to further the underlying methods of CEA, how to make it a more practical tool for market-based as well as public policy decisions, and how to enhance CEA's ability to lead to responsible decisions that result in more effective and efficient care.
管理式医疗作为医疗服务提供的组织原则占据主导地位，这表明成本效益分析（CEA）可能会越来越多地应用于各级决策。卫生服务研究人员现在需要解决以下问题：如何进一步完善CEA的基础方法，如何使其成为基于市场以及公共政策决策的更实用工具，以及如何增强CEA促成负责任决策的能力，从而带来更有效和高效的医疗服务。
