Johnsson J
Hospitals. 1992 Feb 5;66(3):20-6.
In the 1980s, "diversification" in health care meant creating new corporate entities to boost revenues. In the 1990s, in places like New Ulm, MN, Long Beach, CA, and Boston, hospitals and physicians are exploring diversifications that utilize their core patient care strengths. This is creating new entities that benefit patient care and help prepare for health care delivery in the future. In fact, despite predictions that RBRVS would drive physicians into competition with hospitals, the opposite is taking place, as the new "seamless" delivery systems take advantage of pooled resources and economies of scale.
在20世纪80年代,医疗保健领域的“多元化”意味着创建新的企业实体以增加收入。到了20世纪90年代,在明尼苏达州的新乌尔姆、加利福尼亚州的长滩以及波士顿等地,医院和医生们正在探索利用其核心患者护理优势的多元化模式。这正在创建有益于患者护理并有助于为未来医疗保健服务做好准备的新实体。事实上,尽管有人预测相对价值医疗费用偿付制度(RBRVS)会促使医生与医院展开竞争,但实际情况却恰恰相反,因为新的“无缝”服务系统正在利用集中资源和规模经济的优势。