Stiles R A, Mick S S, Wise C G
Mesa Valley Resource Services, 1800 South Sheridan Blvd, Suite 307, Denver, Colorado, USA.
Health Care Manage Rev. 2001 Spring;26(2):85-92. doi: 10.1097/00004010-200104000-00010.
Health care is, at its core, comprised of complex sequences of transactions among patients, providers, and other stakeholders; these transactions occur in markets as well as within systems and organizations. Health care transactions serve one of two functions: the production of care (i.e., the laying on of hands) or the coordination of that care (i.e., scheduling, logistics). Because coordinating transactions is integral to care delivery, it is imperative that they are executed smoothly and efficiently. Transaction cost economics (TCE) is a conceptual framework for analyzing health care transactions and quantifying their impact on health care structures (organizational forms), processes, and outcomes.
医疗保健从本质上讲，是由患者、医疗服务提供者及其他利益相关者之间复杂的交易序列组成；这些交易发生在市场以及系统和组织内部。医疗保健交易发挥着两种功能之一：提供医疗服务（即实际的医疗操作）或协调医疗服务（即安排日程、后勤保障）。由于协调交易对于医疗服务的提供至关重要，因此必须确保这些交易能够顺利且高效地执行。交易成本经济学（TCE）是一个用于分析医疗保健交易并量化其对医疗保健结构（组织形式）、流程和结果影响的概念框架。
