Custer W S
Employee Benefit Research Institute.
EBRI Issue Brief. 1994 Apr(148):8-22.
The health care delivery system is evolving rapidly. There have been changes in the way health care is financed, the types of treatments available, the sites of care, and the physician patient relationship. These changes have resulted primarily from reactions to health care cost inflation. Health care reform is likely to accelerate some of these changes. The threat/promise of health care reform has already accelerated the consolidation of the health care services market. Health care reform is likely to reduce the number of insurers, increase the number of Americans in managed health care plans, increase the number of physicians in group practice, change provider income, and in general make the health care delivery system more concentrated and vertically integrated.
医疗保健服务体系正在迅速演变。在医疗保健的融资方式、可用治疗类型、护理地点以及医患关系方面都发生了变化。这些变化主要是对医疗保健成本上涨的反应所致。医疗保健改革可能会加速其中一些变化。医疗保健改革带来的威胁/希望已经加速了医疗保健服务市场的整合。医疗保健改革可能会减少保险公司的数量，增加参加管理式医疗保健计划的美国人数量，增加集体执业的医生数量，改变医疗服务提供者的收入，总体而言，使医疗保健服务体系更加集中且纵向一体化。
