Carey Kathleen, Burgess James F, Young Gary J
VA Center for Health Quality, Outcomes and Economic Research, Bedford, MA 01742, USA.
Health Econ Policy Law. 2007 Oct;2(Pt 4):409-18. doi: 10.1017/S1744133107004227.
A moratorium in the US on referrals of Medicare and Medicaid patients to new cardiac, orthopedic, or surgical specialty hospitals by physician-investors was recently lifted, yet the considerable controversy stirred by this growing hospital organizational form continues. This paper calls attention to the peculiar trade-offs introduced by entry of these specialty hospitals, and highlights distinctions among their different types. New policy approaches should be open to the notion that all physician-owned specialty hospitals need not necessarily be regulated in the same way. And caution will be required not to compromise the capacity of community general hospitals to service more complex patients and to maintain the social safety net.
美国近期取消了对医生投资者将医疗保险和医疗补助患者转诊至新建心脏病、骨科或外科专科医院的禁令，但这种不断发展的医院组织形式引发的巨大争议仍在持续。本文提请注意这些专科医院的进入所带来的特殊权衡，并突出了它们不同类型之间的区别。新的政策方法应接受这样一种观念，即并非所有医生拥有的专科医院都必然要以相同方式进行监管。并且需要谨慎行事，以免损害社区综合医院为更复杂患者提供服务的能力以及维持社会安全网的能力。
