Berenson Robert A, Bazzoli Gloria J, Au Melanie
Issue Brief Cent Stud Health Syst Change. 2006 Jan(103):1-4.
Policy makers continue to debate the correct public policy toward physician-owned heart, orthopedic and surgical specialty hospitals. Do specialty hospitals offer desirable competition for general hospitals and foster improved quality, efficiency and service? Or do specialty hospitals add unneeded capacity and increased costs while threatening the ability of general hospitals to deliver community benefits? In three Center for Studying Health System Change (HSC) sites with significant specialty hospital development--Indianapolis, Little Rock and Phoenix--recent site visits found that purchasers generally believe specialty hospitals are contributing to a medical arms race that is driving up costs without demonstrating clear quality advantages.
政策制定者们仍在就针对医生所有的心脏、骨科和外科专科医院的正确公共政策展开辩论。专科医院是否为综合医院提供了理想的竞争，并促进了质量、效率和服务的提升？还是专科医院增加了不必要的医疗服务能力并提高了成本，同时还威胁到综合医院提供社区福利的能力？在医疗保健系统变革研究中心（HSC）选定的三个有大量专科医院发展的地区——印第安纳波利斯、小石城和凤凰城——近期的实地考察发现，购买者普遍认为专科医院正在加剧医疗军备竞赛，这在未展现出明显质量优势的情况下推高了成本。
