消費者の能力とアメリカの医療制度改革
1Program on Humanities and Technology in Health Care, The University of Texas Health Science Center, Houston 77225.
JAMA
|March 18, 1992
まとめ
アメリカの医療政策は,専門家が患者のためにシステムを管理することを前提としていますが,これは失敗です. 医療の能力と責任を持つ個人を力づけることは,改革の鍵です.
科学分野:
- 健康政策分析 医療政策分析
- 医学社会学 医学社会学
- 公衆衛生は公衆衛生である.
背景:
- アメリカの医療制度は,消費者や患者のための専門家による管理に依存しています.
- 個人の権威と責任に対する歴史的なアメリカの強調は,医療において過小評価されています.
研究 の 目的:
- 米国保健医療システムにおける専門家の役割を批判的に評価する.
- 医療改革における消費者能力と責任への移行を提唱する.
主な方法:
- アメリカの医療制度の構造と政策の仮定の分析.
- アメリカ社会における個人の権威に関する歴史的テーマの検討.
- 専門家の役割と医療における消費者の関与に関する文献レビュー.
主要な成果:
- 専門家が消費者のための医療システムを効果的に管理できるという仮定は支持されない.
- アメリカの重要なテーマである個人の権威と責任は,医療において十分に適用されていない.
- 現在の医療政策は,消費者に十分な権限を与えていない.
結論:
- 米国における医療改革は,消費者の能力と責任を優先すべきです.
- 情報のある個人に権限を委ねることは,より効果的な医療システムにとって不可欠です.
- 専門家の役割を再考し,患者の代理性を強化することは,将来の医療政策にとって極めて重要です.
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