Wood M J, Hoban R E
VHA Michigan.
Health Care Strateg Manage. 1993 May;11(5):14-6.
If collaboration, not unrestrained competition, is part of the answer to containing health care costs, providers must choose their partners carefully. Competition won't disappear. It's here to stay. But many in our industry have come to the conclusion that increased collaboration is necessary to preserve community health care resources and prevent wasteful duplication of services and technology. Managed competition--a combination of government regulation and free markets--means simply that collaboration and competition will coexist in a new health care environment evolving toward integrated delivery systems of varying kinds.
如果控制医疗成本的答案在于合作而非无节制的竞争,那么医疗服务提供者必须谨慎选择合作伙伴。竞争不会消失,它将持续存在。但我们行业的许多人已经得出结论,加强合作对于保护社区医疗资源以及防止服务和技术的浪费性重复是必要的。管理式竞争——政府监管与自由市场的结合——仅仅意味着合作与竞争将在朝着各种综合服务体系发展的新医疗环境中共存。