A Changing Health Care Decision-Making Environment
研究医生与行政人员在面对心肺复苏等生命危急场景时的态度差异，发现医生更关注患者未来的生命质量，而行政人员更关注患者当前的生存价值，这对美国医疗系统的公平性提出新挑战。
The increasing pressure to contain costs is bringing a new member to the "traditional" health delivery team, the professionally(and nonmedically-) trained administrator. In this paper, we examine the root differences in attitudes of physicians and this emerging administrative group exhibited in response to simulated life-threatening scenarios. When cardiopulmonary resuscitation (CPR) is indicated, physicians in our sample focus on the future "worth" (or quality) of the patient's life; administrators, however, are more likely to focus on the existing "worthiness" of the patient. These differences lead us to conclude that equitable health care delivery programs in the United States, balancing quality, availabity, and cost efficiency, will require new broader-based management systems both at the macrosystem as well as at the single institution levels.