Shaw D A, Hoban T W
Hennepin County Medical Society.
Minn Med. 1992 Sep;75(9):24-31.
"The health care system in Minnesota, especially in the Twin Cities area, is currently undergoing change that can best be characterized as a consolidation of providers into larger and larger groups (multispecialty clinics, hospital/physician mergers, and expanded HMOs and PPOs). These changes are intended to produce economies of scale, less duplication of services, and better control of costs and quality of health care. Where does this leave the more traditional, smaller multispecialty or single-specialty practices often referred to as 'independents'?... How can independent groups respond to these trends in order to survive in the new health care marketplace?"
明尼苏达州的医疗保健系统，尤其是在双子城地区，目前正在经历变革，这种变革最显著的特点是医疗服务提供者合并为越来越大的集团（多专科诊所、医院/医生合并，以及扩张的健康维护组织和优先提供者组织）。这些变革旨在实现规模经济，减少服务重复，并更好地控制医疗保健的成本和质量。那么，那些更传统、规模较小的多专科或单专科诊所，也就是常被称为“独立诊所”的机构，该何去何从呢？……独立诊所集团如何应对这些趋势，以便在新的医疗保健市场中生存下来？
