McLean Thomas
Third Millennium Consultants LLC, Shawnee, KS 66216, USA.
J Health Serv Res Policy. 2007 Apr;12(2):120-2. doi: 10.1258/135581907780279503.
Telemedicine improves access to medical care. However, telemedicine will also increase market volatility because of its ability to stimulate price competition and the insidious way it shifts liability for providing medical services. To cope with increased volatility, other economic sectors have evolved commodities markets by making greater use of standardized forward/future contracts. In the past, the need for medical services to be produced and consumed locally and a lack of an objective definition for medical quality, prohibited the use of forward contracts for health-care services. However, telemedicine, and the increasing use of statistical definitions of medical quality now make standardized forward contracts for health-care services conceivable. Commoditization of teleradiology would offer several advantages including increasing market transparency, a mechanism for ensuring medical quality, and a means for bringing capital into the health-care sector. To reap the benefits of a commodities market in teleradiology, the key will be for market stakeholders to overcome their fear of the unknown in order to organize a central exchange.
远程医疗改善了医疗服务的可及性。然而,远程医疗也会加剧市场波动,因为它能够刺激价格竞争,而且它转移医疗服务责任的方式很隐蔽。为应对加剧的波动,其他经济部门通过更多地使用标准化远期/期货合约发展了商品市场。过去,医疗服务需要在本地生产和消费,且缺乏医疗质量的客观定义,这使得医疗保健服务无法使用远期合约。然而,远程医疗以及对医疗质量统计定义的日益采用,现在使医疗保健服务的标准化远期合约成为可能。远程放射学的商品化将带来诸多好处,包括提高市场透明度、确保医疗质量的机制以及将资本引入医疗保健部门的手段。为了从远程放射学的商品市场中获益,关键在于市场利益相关者克服对未知的恐惧,从而组织一个中央交易所。