Enthoven Alain C, Crosson Francis J, Shortell Stephen M
Graduate School of Business, Stanford University, California, USA.
Health Aff (Millwood). 2007 Sep-Oct;26(5):1366-72. doi: 10.1377/hlthaff.26.5.1366.
This paper provides an analysis of the structure of the health care delivery system, emphasizing physician group practices. The authors argue for comprehensive integrated delivery systems (IDSs). The jumping-off point for their analysis is the recently published Redefining Health Care: Creating Value-Based Competition on Results, by Michael Porter and Elizabeth Teisberg. The authors focus on the book's core idea that competitors should be freestanding integrated practice units (or "islands in archipelagos") versus IDSs (or "medical homes"). In any case, the authors contend that this issue should be resolved by competition to attract and serve informed, cost-conscious, responsible consumers on a level playing field.
本文对医疗保健服务体系的结构进行了分析，重点关注医生集团执业模式。作者主张建立全面综合的服务体系（IDSs）。他们分析的出发点是迈克尔·波特（Michael Porter）和伊丽莎白·泰斯伯格（Elizabeth Teisberg）最近出版的《重新定义医疗保健：基于结果创造价值竞争》。作者关注该书的核心观点，即竞争者应该是独立的综合执业单位（或“群岛中的岛屿”），而非综合服务体系（或“医疗之家”）。无论如何，作者认为这个问题应该通过竞争来解决，即在公平的竞争环境中吸引并服务明智、注重成本且有责任感的消费者。
