Enthoven Alain C, Tollen Laura A
Stanford University Graduate School of Business, Stanford, California, USA.
Health Aff (Millwood). 2005 Jul-Dec;Suppl Web Exclusives:W5-420-33. doi: 10.1377/hlthaff.w5.420.
Many stakeholders agree that the current model of U.S. health care competition is not working. Costs continue to rise at double-digit rates, and quality is far from optimal. One proposal for fixing health care markets is to eliminate provider networks and encourage informed, financially responsible consumers to choose the best provider for each condition. We argue that this "solution" will lead our health care markets toward even greater fragmentation and lack of coordination in the delivery system. Instead, we need markets that encourage integrated delivery systems, with incentives for teams of professionals to provide coordinated, efficient, evidence-based care, supported by state-of-the-art information technology.
许多利益相关者都认为，美国目前的医疗保健竞争模式行不通。成本继续以两位数的速度增长，而质量远未达到最佳状态。修复医疗保健市场的一项提议是消除医疗服务提供网络，并鼓励明智且对财务负责的消费者为每种病症选择最佳的医疗服务提供者。我们认为，这种“解决方案”将导致我们的医疗保健市场更加碎片化，且在医疗服务提供系统中缺乏协调性。相反，我们需要鼓励综合医疗服务提供系统的市场，激励专业团队提供协调、高效、循证医疗服务，并辅以最先进的信息技术。
