The demand for effectiveness, efficiency and equity of health care

Effectiveness, efficiency and equity in health care are discussed in this article against the background of concerns that 'cost containment' may lead to reductions in quality of care. It is suggested that effectiveness is best seen from the patient's point of view and that it relates to more than simply improved health status. Efficiency and equity are better viewed from a societal stance. The paper discusses the role of the medical profession in effectiveness, efficiency and equity and argues that the role of medical doctors needs to be constrained.