消费者能力和美国医疗保健改革
1Program on Humanities and Technology in Health Care, The University of Texas Health Science Center, Houston 77225.
JAMA
|March 18, 1992
概括
美国医疗保健政策假设专家为患者管理系统,但这失败了. 赋予个人医疗保健能力和责任的能力是改革的关键.
科学领域:
- 卫生政策分析 卫生政策分析
- 医学社会学 医学社会学
- 公共卫生 公共卫生
背景情况:
- 美国医疗保健系统依赖于专家管理,为消费者和患者提供服务.
- 美国历史上对个人权威和责任的强调在医疗保健中代表性不足.
研究的目的:
- 批判性地评估专家在美国医疗保健系统中的作用.
- 倡导在医疗改革中转向消费者能力和责任.
主要方法:
- 分析美国医疗保健系统的结构和政策假设.
- 检查美国社会个人权威的历史主题.
- 关于专家角色和消费者参与医疗保健的文献综述.
主要成果:
- 专家能够有效地管理消费者医疗保健系统的假设没有得到支持.
- 个人权威和责任,这是美国的一个关键主题,在医疗保健中应用不够.
- 当前的医疗保健政策没有充分赋予消费者权力.
结论:
- 美国的医疗改革应该优先考虑消费者能力和责任.
- 将权力转移给知情个人对于更有效的医疗保健系统至关重要.
- 对未来的医疗保健政策来说,重新思考专家的作用和加强患者代理权至关重要.
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