Specialty-service lines: Salvos in the new medical arms race

Specialty-service lines: Salvos in the new medical arms race
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DOI:
10.1377/hlthaff.25.w337
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发表时间:
2006-09-01
期刊:
影响因子:
9.7
通讯作者:
Pham, Hoangmai H.
Pham, Hoangmai H.
中科院分区:
医学1区
文献类型:
--
作者:
Berenson, Robert A.;Bodenheimer, Thomas;Pham, Hoangmai H.

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医院和医生正在开发和销售离散和有利可图的专业服务线。虽然密切联系的专科医生是医院服务线产品的核心,但其他医生通过医生拥有的专科设施直接与医院竞争。特殊服务热线可以在各种环境中提供,包括传统医院墙内和墙外。到目前为止,医院和医生之间对专科服务控制权的争夺不断升级,但这并没有影响医院的盈利能力。然而,随着门诊竞技场可以安全进行的护理范围的扩大,医生对专科服务控制权的竞争可能会威胁到医院的财务健康。
Hospitals and physicians are developing and marketing discrete and profitable specialty-service lines. Although closely affiliated specialist physicians are central to hospitals' service-line products, other physicians compete directly with hospitals via physician-owned specialty facilities. Specialty-service lines may be provided in a variety of settings, both inside and outside traditional hospital walls. Thus far, the escalating battle between hospitals and physicians for control over specialty services has not affected hospital profitability. However, as the scope of care that can be safely performed in the outpatient arena expands, physician competition for control over specialty services may threaten hospitals' financial health.