医疗保健行业的放松管制：财务变革的影响

Deregulation of the health care industry: implications of financial change.

作者信息

Kaufman K

出版信息

Health Care Strateg Manage. 1983 Oct;1(1):4-7.

Abstract

DRG-style prospective reimbursement has the potential to act as a destabilizing and deregulating force in the health care industry. The consequences of deregulation are anticipated to include: corporate capture of the delivery system: increased physician investment in the delivery process; shift in governance from the community to the national marketplace; changes in utilization patterns; re-emphasis on market shares; intensification of ambulatory care strategies; changes in the intensity of diagnostic services; new directions in corporate reorganization; and the rise of the chief financial officer.

摘要

疾病诊断相关分组（DRG）式的前瞻性报销有可能在医疗行业中成为一种破坏稳定和放松监管的力量。预计放松监管的后果包括：医疗服务提供系统被企业掌控；医生在医疗服务过程中的投资增加；治理从社区转向全国性市场；使用模式发生变化；重新强调市场份额；强化门诊护理策略；诊断服务强度的改变；企业重组的新方向；以及首席财务官地位的提升。