Allawi S J, Hill B T, Shah N R
William M. Mercer, Inc., New York, USA.
Clin Lab Manage Rev. 1998 Jan-Feb;12(1):3-8.
The transformation of the health-care industry holds great economic potential for laboratory diagnostic testing providers who understand the five market forces driving change and who are shaping their own roles in the emerging market. Because of these trends, provider-based laboratories (PBLs) are competing with independent laboratories (ILs) for the latter's traditional client base--outpatients and nonpatients. PBLs will continue to service acute care patients while becoming more IL-like in logistics, sales, customer service, and marketing. Forced to compete on price, ILs have engaged in mega-mergers and will try to break into acute care via joint ventures. The ILs will need to choose their markets carefully, solidly integrate with parent organizations, and find ways to be profit centers. Consumers' demands also are forcing change. Consumers want accurate, legible bills and simplified eligibility determination and registration. They want an emphasis on prevention and wellness, which means that diagnostic testing must address early identification and monitoring of high-risk groups. To realize cost-efficiencies under whole-life capitation, laboratory networks must be part of a completely integrated health-care system. The laboratory of the future will be multicentered, without walls, and with quick access to information through technology.
对于那些理解推动变革的五大市场力量并正在新兴市场中塑造自身角色的实验室诊断检测供应商而言，医疗保健行业的变革蕴含着巨大的经济潜力。由于这些趋势，基于供应商的实验室（PBLs）正在与独立实验室（ILs）争夺后者的传统客户群——门诊患者和非患者。PBLs将继续为急症护理患者提供服务，同时在物流、销售、客户服务和营销方面变得更像独立实验室。由于被迫在价格上展开竞争，独立实验室已进行了大规模合并，并将试图通过合资企业打入急症护理领域。独立实验室将需要谨慎选择其市场，与母公司进行稳固整合，并找到成为利润中心的方法。消费者的需求也在推动变革。消费者希望账单准确、清晰可读，并简化资格判定和登记流程。他们希望强调预防和健康，这意味着诊断检测必须针对高危人群的早期识别和监测。为了在终身按人头付费的情况下实现成本效益，实验室网络必须成为完全整合的医疗保健系统的一部分。未来的实验室将是多中心的、无边界的，并且能够通过技术快速获取信息。
