Must We Ration Health Care for the Elderly?
Must We Ration Health Care for the Elderly?
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DOI：
10.1111/j.1748-720x.2012.00640.x
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发表时间：
2012-03-01
影响因子：
2.1
通讯作者：
Callahan, Daniel
中科院分区：
文献类型：
--
作者：
Callahan, Daniel
对老年人医疗保健配给的抵制是巨大的。本文根据对近期医疗保险支出的预测，以及政策专家认为不会有可能降低成本的技术突破的判断，阐述了定量配给的必要性。讨论了各种形式的配给可能性以及所需改革的文化和政治障碍。提出了一些思考老年人保健的一般原则。
Resistance to rationing health care to the elderly is enormous. This article lays out the need for rationing, based on projections of Medicare expenditure in the near future, and the judgment of policy experts that there will be no technological breakthrough that might lower costs. Various forms of rationing possibilities are discussed as well as cultural and political obstacles to needed reform. Some general principles for thinking about health care for the elderly are presented.