University of Chicago, USA.
Health Aff (Millwood). 2008 Sep-Oct;27(5):1305-14. doi: 10.1377/hlthaff.27.5.1305.
Data from the most recent Community Tracking Study (CTS) interviews in twelve nationally representative metropolitan areas indicate that hospitals are increasingly employing physicians, particularly specialists. Nonemployed physicians are separating from hospitals passively by refusing to serve on medical staff committees or take emergency department call, and actively by creating specialized facilities, such as ambulatory surgery centers (ASCs), to compete for hospitals' most profitable services. Employment is more common and physician-owned ASCs are less common in consolidated hospital markets. The interviews also suggest other factors motivating physician employment by, or separation from, hospitals, and likely consequences of these trends.
最新的社区跟踪研究（CTS）访谈数据显示，在全国 12 个具有代表性的大都市区，医院越来越多地雇用医生，尤其是专家。非雇佣医生通过拒绝在医疗人员委员会任职或接听急诊电话等方式消极地与医院分离，也通过创建专门的设施，如门诊手术中心（ASC），来竞争医院最有利可图的服务而主动与医院分离。在合并的医院市场中，雇佣医生的情况更为常见，而医生拥有的 ASC 则较少。访谈还表明了促使医生受雇于或与医院分离的其他因素，以及这些趋势可能产生的后果。
