Competition in health care: It takes systems to pursue quality and efficiency
Competition in health care: It takes systems to pursue quality and efficiency
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DOI：
10.1377/hlthaff.w5.420
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发表时间：
2005-09-01
期刊：
影响因子：
9.7
通讯作者：
Tollen, LA
中科院分区：
文献类型：
--
作者：
Enthoven, AC;Tollen, LA
许多利益相关者认为，美国目前的医疗保健竞争模式不起作用。成本继续以两位数的速度上升，质量也远非最佳。一个修复医疗保健市场的建议是消除供应商网络，鼓励知情的、在财务上负责任的消费者为每种情况选择最好的供应商。我们认为，这种“解决方案”将导致我们的医疗保健市场走向更大的分裂和缺乏协调的交付系统。相反，我们需要鼓励综合服务系统的市场，鼓励专业团队提供协调、高效、循证的护理，并得到最先进的信息技术的支持。
Many stakeholders agree that the current model of U.S. health care competition is not working. Costs continue to rise at double-digit rates, and quality is far from optimal. One proposal for fixing health care markets is to eliminate provider networks and encourage informed, financially responsible consumers to choose the best provider for each condition. We argue that this "solution" will lead our health care markets toward even greater fragmentation and lack of coordination in the delivery system. Instead, we need markets that encourage integrated delivery systems, with incentives for teams of professionals to provide coordinated, efficient, evidence-based care, supported by state-of-the-art information technology.