American medical culture and the health care crisis.
American medical culture and the health care crisis.
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DOI：
10.1177/0885713x9300800403
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发表时间：
1993-01-01
期刊：
影响因子：
--
通讯作者：
Linsk, J A
中科院分区：
文献类型：
--
作者：
Linsk, J A
医疗保健危机很容易被定义为成本的逐步和大规模上升，加上该系统未能向人口中的很大一部分（3 700万）提供护理。已经提出了多种补救办法，但没有一种能解决核心问题。这场危机在很大程度上是由美国的医疗文化造成的--我们的医生是如何行医的，他们对病人做了什么，为病人开了什么处方。显然，其他西方民主国家的医疗文化是不同的，以较低的成本提供更好的整体医疗保健。对医学或外科领域的任何一个部门进行简要分析，都会发现临床干预措施过多。解决方案将需要大量减少临床干预，其中许多是可疑的，无用的，甚至有害的。
The health care crisis is easily defined as a progressive and massive rise in costs coupled with a failure of the system to provide care to a large minority of the population (37 million). Multiple remedies have been proposed, none of which confronts the core problem. This crisis has been largely produced by the American medical culture--how our physicians practice, what they do to and order for patients. Clearly, medical culture in other Western democracies is different, yielding better overall health care at a lower cost. A brief analysis of any of the sectors of medicine or surgery reveals the overabundance of clinical interventions that take place. The solution will require a major reduction in clinical interventions so many of which are questionable, useless, or even harmful.