PROTECTING MEDICAL COMMONS - WHO IS RESPONSIBLE
PROTECTING MEDICAL COMMONS - WHO IS RESPONSIBLE
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DOI：
10.1056/nejm197507312930506
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发表时间：
1975-01-01
影响因子：
158.5
通讯作者：
HIATT, HH
中科院分区：
文献类型：
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作者：
HIATT, HH
医疗资源显然是有限的，但对这些资源的需求正在迅速增长。特别令人关切的是，对这些资源的需求用于三种医疗做法：造成个人利益与社会利益冲突的做法;没有价值或价值未定的做法;以及用于可能预防的疾病的做法。必须从社会和医疗优先事项的角度对这些做法进行评估，随着国家健康保险的建立，这一要求将变得更加迫切。谁来做决定还不太清楚，但不太可能只有医生。医生和其他保健服务提供者必须与许多领域的专业人员以及消费者密切合作，确保提供和传播信息，以便作出符合社会最佳利益的决定。（《新英格兰医学杂志》293：235-241，1975）
The resources for medical care are clearly finite, but demands on those resources are growing rapidly. Of particular concern are the demands on those resources for medical practices of three kinds: those that pose conflicts between the interests of the individual and those of society; those of no value or of undetermined value; and those for potentially preventable conditions. Such practices must be evaluated in terms of social and medical priorities, and this requirement will become more urgent with the establishment of national health insurance. Who will make decisions is less clear, but it is not likely to be physicians alone. It is imperative that physicians and other health providers work closely with professionals from many fields, and with consumers, to ensure the availability and dissemination of information that will permit decisions that are in the best interests of society. (N Engl J Med 293:235–241, 1975)