Wall Street's growing influence on plastic surgery.
Wall Street's growing influence on plastic surgery.
复制标题
华尔街对整形手术的影响力与日俱增。
DOI：
10.1097/00006534-200004050-00027
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发表时间：
2000
影响因子：
3.6
通讯作者：
W. Shaw
中科院分区：
文献类型：
--
作者：
L. Krieger;W. Shaw
管理式医疗的出现释放了医疗保健系统的市场力量。这些新压力的结果之一是从非营利性融资转向基于华尔街的融资。本报告通过比较 20 世纪 80 年代和现在的卫生组织的财务结构来量化这些趋势。研究了这种转变背后的原因以及股票市场的功能。对华尔街主要财务指标的审查证实，医疗保健已转向股票市场作为其主要融资手段。股票市场的运作方式是根据对未来收益的估计来确定公司股票的当前价格。因此，公司希望其成本、收入和利润具有可预测性。整形外科医生可以通过应对华尔街融资带来的挑战来掌握这个系统。重要的步骤包括不断衡量手术的成本和结果，要求医院和付款人提供成本数据，利用这些数据来改善成本和结果，以及利用系统对创新的开放性和更容易获得资本的优势。当整形外科医生寻求在新的自由市场体系下保护自己作为医疗决策者的角色时，他们可以从了解股票市场的机制中受益。
The advent of managed care has unleashed market forces on the health care system. One result of these new pressures is a shift from nonprofit to Wall Street-based financing. This report quantifies these trends by comparing health organizations' financial structures in the 1980s and now. The reasons behind this shift and the function of the stock market are examined. A review of Wall Street's key financial measures confirms that health care has shifted to the stock market as its principal means of financing. The stock market works by assigning a current price to a company's stock based on estimates for future earnings. Thus, companies desire predictability in their costs, revenues, and profits. Plastic surgeons can master this system by meeting the challenges imposed by Wall Street financing. Important steps include continuously measuring costs and outcomes of procedures, demanding cost data from hospitals and payers, using these data to improve costs and outcomes, and taking advantage of the system's openness to innovation and easier access to capital. As they seek to protect their role as medical decision makers under the new free-market system, plastic surgeons can benefit from understanding the mechanisms of the stock market.