Looking for Better Health in All the Wrong Places: The Road to “Equality” Hits a Dead End

Looking for Better Health in All the Wrong Places: The Road to “Equality” Hits a Dead End
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在所有错误的地方寻找更好的健康:“平等”之路走进了死胡同

DOI:
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发表时间:
2012
期刊:
Journal of Law, Medicine & Ethics
影响因子:
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通讯作者:
T. Miller
T. Miller
中科院分区:
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文献类型:
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作者:
T. Miller

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我最初被分配了一个工作头衔,“追求老年人医疗保健的平等是徒劳的。”我更愿意把卫生政策的这一特殊死胡同看作是长时间听错误的音乐。因此,这篇文章重复并修改了20世纪80年代早期电影《都市牛仔》的主打歌,但约翰尼·李的原始歌词改编为“在所有错误的地方寻找更好的健康[而不是“爱”或“平等的爱”]。更好的目标是在改善更多人的健康方面取得更大进展,包括(但不限于)老年人。它不必像追求人人“平等”这一难以捉摸的抽象概念那样徒劳--但前提是我们首先摆脱近来依赖路径的方法,这种方法仍然过于狭隘地关注特定群体获得的医疗保健服务的统计差异。
I was initially assigned the working title, “Pursuing Equality in Health Care for the Elderly Is Futile.” I prefer to think of that particular dead end of health policy as one of listening to the wrong music for too long. Hence, this article reprises and revises the title song of the early 1980s movie, Urban Cowboy, but with Johnny Lee’s original lyrics adapted as “Looking for better health [rather than either ‘love’ or ‘love of equality’] in all the wrong places.” The better goal is to achieve more progress in improving health for more people, including (but not limited to) the elderly. It need not be as futile as the pursuit of the elusive abstraction of “equality” for all — but only if we first move away from a path-dependent approach of recent times that remains too narrowly focused on statistical disparities in health care services received by particular groups.
DOI: 10.1377/hlthaff.27.2.350
发表时间: 2008-03-01
期刊: HEALTH AFFAIRS
影响因子: 9.7
作者:
Meara, Ellen R.;Richards, Seth;Cutler, David M.
通讯作者: Cutler, David M.