Fried Bruce J, Harris Dean M
Department of Health Policy and Administration, School of Public Health at the University of North Carolina (UNC) at Chapel Hill, USA.
Front Health Serv Manage. 2007 Winter;24(2):3-18.
The world is getting "flatter"; people, information, technology, and ideas are increasingly crossing national borders. U.S. healthcare is not immune from the forces of globalization. Competition from medical tourism and the rapid growth in the number of undocumented aliens requiring care represent just two challenges healthcare organizations face. An international workforce requires leaders to confront the legal, financial, and ethical implications of using foreign-trained personnel. Cross-border institutional arrangements are emerging, drawing players motivated by social responsibility, globalization of competitors, growth opportunities, or an awareness of vulnerability to the forces of globalization. Forward-thinking healthcare leaders will begin to identify global strategies that address global pressures, explore the opportunities, and take practical steps to prepare for a flatter world.
世界正变得“更平坦”；人员、信息、技术和思想越来越多地跨越国界。美国医疗保健也无法免受全球化力量的影响。医疗旅游的竞争以及需要医疗服务的无证外国人数量的迅速增长，只是医疗保健组织面临的两个挑战。国际化的劳动力要求领导者应对使用受过国外培训人员所涉及的法律、财务和伦理问题。跨境机构安排正在出现，吸引了受社会责任、竞争对手全球化、增长机会或对全球化力量脆弱性认识所驱动的参与者。有前瞻性思维的医疗保健领导者将开始制定应对全球压力的全球战略，探索机会，并采取实际步骤为更平坦的世界做好准备。
