Kahn Charles N
Federation of American Hospitals, Washington, DC, USA.
Health Aff (Millwood). 2006 Jan-Feb;25(1):130-3. doi: 10.1377/hlthaff.25.1.130.
Issues of physician ownership and referral could cause major shifts in the structure of medical care and make the financing of U.S. hospital services problematic. The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 mandated research on this matter and applied an eighteen-month moratorium against self-referral to allow policymakers to consider the issue. Research findings thus far confirm that physicians' ownership and referral present conflicts of interest through medical and economic patient selection and potentially excessive utilization. The policy response must prevent these results and preserve fair competition among hospitals.
医生所有权和转诊问题可能会导致医疗保健结构的重大转变，并使美国医院服务的融资出现问题。2003年的《医疗保险处方药、改进和现代化法案》（MMA）要求对此事进行研究，并对自我转诊实施了为期18个月的暂停期，以便政策制定者能够考虑这个问题。迄今为止的研究结果证实，医生的所有权和转诊通过医疗和经济方面的患者选择以及潜在的过度使用存在利益冲突。政策应对措施必须防止这些结果，并维护医院之间的公平竞争。
