It’s the evidence, stupid
It’s the evidence, stupid
复制标题
这是证据，傻瓜
作者：
F. Godlee
近20年前，美国俄勒冈州开始了一项大胆的实验，明确定量提供医疗保健。其目的是创建并削减一个由国家资助的医疗补助计划所涵盖的优先治疗清单，以便可用的资金能够覆盖更多的人。随着全球信贷紧缩可能使稀缺资源更加稀缺，本周的《英国医学杂志》回顾了从俄勒冈州可以学到什么，并展望了我们未来应该如何配给医疗保健。
正如Vidhya Alakeson解释的那样（doi：10.1136/bmj.a1563），俄勒冈州1989年健康计划的独特之处在于.
Nearly 20 years ago, the US state of Oregon embarked on a brave experiment to explicitly ration health care. The aim was to create and then whittle away at a prioritised list of treatments covered by the state funded Medicaid programme, so that the available money would cover more people. With the global credit crunch likely to make scarce resources even scarcer, this week’s BMJ looks back at what can be learnt from Oregon and forward to how we should ration health care in the future.
As Vidhya Alakeson explains (doi:10.1136/bmj.a1563), the unique thing about Oregon’s 1989 health plan …