Brewbaker William S
University of Alabama, USA.
J Health Polit Policy Law. 2002 Aug;27(4):575-604. doi: 10.1215/03616878-27-4-575.
In the public debate over the extension of collective bargaining rights to independent physicians, union proponents' primary argument has been that patients would benefit from allowing physicians to bargain collectively with health plans. This article examines the likely effects of physician unions on the U.S. health care system. Specifically considered are likely effects on economic efficiency, quality, access, and cost. Under none of these criteria are physician unions likely to improve health system performance, particularly when compared with available alternative strategies for dealing with problems identified by union proponents.
在关于将集体谈判权扩展至独立医生的公开辩论中，工会支持者的主要论点是，允许医生与医疗保健计划进行集体谈判将使患者受益。本文探讨了医生工会对美国医疗保健系统可能产生的影响。具体考虑的是对经济效率、质量、可及性和成本可能产生的影响。在这些标准下，医生工会都不太可能改善医疗系统的表现，尤其是与处理工会支持者所指出问题的现有替代策略相比。
