Sobhani Bidjan, Kersting Thomas
DRK Kliniken Berlin, Berlin.
Z Evid Fortbild Qual Gesundhwes. 2009;103(10):666-9; discussion 669-71. doi: 10.1016/j.zefq.2009.09.038.
Competition and cooperation are contradictory aspects of economic systems; in the healthcare system they also govern the process of creation and distribution of value. Both are needed to reach higher levels of efficiency and innovation. Regarding competition as a universal remedy which only has to be applied in higher doses in order to cure the multiple illnesses of the healthcare sector is a single-sided view and does not match economic reality. As politics introduce more and more elements of competition the question arises as to what degree hospitals are in competition with private practice physicians. In contrast to statements of lobbyists we came to the conclusion that the degree of competition between hospitals and physicians is negligible when compared to the vast potential of cooperation.
竞争与合作是经济体系中相互矛盾的两个方面；在医疗体系中，它们也支配着价值创造与分配的过程。要实现更高水平的效率和创新，两者缺一不可。将竞争视为一种万能药，认为只需加大剂量就能治愈医疗行业的多种弊病，这种观点是片面的，不符合经济现实。随着政策引入越来越多的竞争元素，医院与私人执业医生之间的竞争程度究竟如何这一问题便随之而来。与游说者的说法相反，我们得出的结论是，相较于巨大的合作潜力，医院与医生之间的竞争程度微不足道。
