Center for Studying Health System Change in Washington, DC, USA.
Health Aff (Millwood). 2008 Sep-Oct;27(5):w374-82. doi: 10.1377/hlthaff.27.5.w374. Epub 2008 Aug 12.
This paper describes how intensifying competitive pressures in the health system are simultaneously driving increased demand for safety-net care and taxing safety-net providers' ability to maintain the mission of serving all, regardless of ability to pay. Although safety-net providers adapted to previous challenges arising from managed care, health system pressures have been more intense and more generalized across different sectors in recent years than in the past. Providers are adopting some of the same strategies being used in the private sector to attract higher-paying patients and changing their "image" as a safety-net provider.
本文描述了医疗体系竞争压力的加剧如何同时导致对安全网护理的需求增加，并考验着安全网提供者为所有患者，无论其支付能力如何，提供服务的使命的能力。尽管安全网提供者适应了过去管理式医疗带来的挑战，但近年来，医疗体系的压力比过去更为强烈和普遍，涉及不同领域。提供者正在采用一些私营部门用来吸引高付费患者的相同策略，并改变他们作为安全网提供者的“形象”。
