美国医院协会理事会1982年4月发表文章,论述了美国近年来医疗事业和医院工作指导思想的变革和医院体制的变化。文章说,在以往的数个世纪中,作为医疗卫生工作指导思想的基本宗旨一直是先治病,然后再考虑谁付款。然而,近百年来,随着医学科学和技术的发展,对医院的利用不断增加 The American Hospital Association Council published an article in April 1982 that discussed changes in the guiding ideology of the medical profession and hospital work in the United States in recent years and changes in the hospital system. The article said that in the past few centuries, the basic principle of the guiding ideology for medical and health work was to treat the disease first and then consider who paid for it. However, in the last hundred years, with the development of medical science and technology, the use of hospitals has been increasing.