Priority setting in health care: learning from international experience
Priority setting in health care: learning from international experience
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DOI：
10.1016/s0168-8510(97)00054-7
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发表时间：
1997-10-01
期刊：
影响因子：
3.3
通讯作者：
Ham, C
中科院分区：
文献类型：
--
作者：
Ham, C
确定保健工作的优先次序并不是一个新问题，但这是一个日益重要的问题。在公共资助的卫生保健系统中，有限的资源和不断增长的需求相结合，导致决策者比过去更直接地解决这个问题。俄勒冈州、荷兰、新西兰、瑞典和联合王国的经验就是例证。在上述每一个系统中，决策者都采取主动行动，更加明确地确定优先事项。本文比较和对比这些系统的经验，并确定了一些新出现的主题。迄今为止所做的工作可以比作政策学习活动，在这一活动中，决策者尝试了一系列办法，并在这一过程中多次调整方针。确定优先事项不是一劳永逸的解决办法，必须不断审查所涉问题。(C)1997 Elsevier Science爱尔兰有限公司
Priority setting in health care is not new but it is an issue of growing importance. In publicly financed health care systems, the combination of constrained resources and increasing demands has led policy makers to address this issue more directly than in the past. This is exemplified by experience in Oregon, the Netherlands, New Zealand, Sweden and the UK. In each of these systems, policy makers have taken the initiative to set priorities on a more explicit basis. This paper compares and contrasts experience in these systems and identifies a number of emerging themes. The work done so far can be likened to an exercise in policy learning in which policy makers have tried out a range of approaches and have adjusted course several times in the process. Priority setting is not amenable to once and for all solutions and the issues involved must be kept under continuous review. (C) 1997 Elsevier Science Ireland Ltd.