Anderson J G
Health Matrix. 1985 Spring;3(1):32-7.
The MeSH (Medical Staff-Hospital Joint Venture Company) concept has arisen to meet the perceived need for hospital-physician cooperation in a modern age of prospective payment systems, increased supply of health-care providers, cost conscious consumers, corporate health care organizations, and a general trend toward industrialization of health care. Supply and demand economics have created a situation which threatens the autonomy and financial integrity of both hospitals ans physicians, forcing cooperation or mutual destruction. MeSH seeks to preserve the autonomy and financial integrity of both parties through the creation of a free-standing business entity jointly owned by a hospital and those members of its medical staff who choose to participate. This article presents reasons for the need for cooperation, the objectives of MeSH, a description of its structure and operation, and a list of potential projects the program could include.
医务人员-医院合资公司(MeSH)概念的出现,是为了满足在现代预期支付系统、医疗服务提供者供应增加、注重成本的消费者、企业医疗保健组织以及医疗保健产业化总体趋势的时代,医院与医生合作的明显需求。供求经济学造成了一种局面,威胁到医院和医生双方的自主权和财务完整性,迫使双方要么合作,要么同归于尽。MeSH试图通过创建一个由医院及其选择参与的医务人员共同拥有的独立商业实体,来维护双方的自主权和财务完整性。本文阐述了合作需求的原因、MeSH的目标、其结构和运作的描述,以及该项目可能包括的潜在项目清单。