六十年代医疗费用的增加,约有一半是由于不必要的医疗造成。医师通常不把医疗费用作为重要的考虑因素,因此应设立一些机构,如最近成立的“医疗标准审查组织”,以检查、限制不必要的医疗。然而是由病人、医师、医院还是由保险机构来承担不必要的医疗费用,却不明确。医师应当对自己的建议而造成的不必要的医疗费用承担责任。此文介绍几种使医师在法律上对不必要的医疗承担声任的方法,提出一些有关的建议。 About half of the increase in medical expenses in the 1960s was due to unnecessary medical treatment. Physicians usually do not consider medical expenses as an important consideration. Therefore, some institutions should be set up, such as the newly established “medical standards review organization” to check and limit unnecessary medical treatment. However, it is unclear whether patients, doctors, hospitals, or insurance agencies will bear unnecessary medical expenses. Physicians should be responsible for unnecessary medical expenses caused by their own suggestions. This article describes several ways in which doctors can legally assume responsibility for unnecessary medical care and make some relevant recommendations.