Healthcare Reform and the Hospital Industry: What Can We Expect?
Healthcare Reform and the Hospital Industry: What Can We Expect?
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DOI：
10.1097/00115514-201007000-00009
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发表时间：
2010-07-01
影响因子：
1.8
通讯作者：
Rumberger, Jill S.
中科院分区：
文献类型：
--
作者：
Kellis, Dana S.;Rumberger, Jill S.
医疗保健费用继续急剧增加，而质量仍然是一个重大问题。国会通过的改革措施将加剧这些成本的扩大，进一步给纳税人和雇主带来压力，并迫使医院采取转型变革，以适应不断增长的服务需求和不断减少的报销。成本控制和质量改进可以通过增加竞争或加大政府干预来实现。竞争将要求对医疗保健系统进行令人不快的改革，以在不进一步限制获取或降低质量的情况下降低成本。政府干预的增加将导致报销和医患关系的变化，并增加对改善护理的需求。为了提高成本和质量，同时保证更多的可及性，我们提倡对美国人实行普遍的标准覆盖；负责任的卫生保健系统领导；利用信息资源进行利用决策和绩效评估；调整医生、医院和付款人的激励机制，以关注护理结果而不是利润最大化；准竞争的使用允许消费者在这个系统内进行选择。
Healthcare costs continue to increase dramatically, while quality remains a significant problem. Reform measures adopted by Congress will fuel expansion of these costs, further stressing taxpayers and employers and forcing hospitals to adopt transformational changes as they adjust to increased demands for services and shrinking reimbursement. Cost control and quality improvement can be achieved through increased competition or greater government intervention. Competition will require unpalatable changes to the healthcare system to decrease costs without further restricting access or decreasing quality. Increased government intervention will result in changes to reimbursement and hospital-physician relations and increased demands for improved care. To improve cost and quality while preserving increased access, we advocate for a universal standard coverage of Americans; accountable healthcare system leadership; leverage of information resources to make utilization decisions and evaluate performance; alignment of physician, hospital, and payer incentives to focus on care outcomes rather than profit maximization; and the use of quasicompetition to allow for consumer choice within this system.