Florida State University Center for Innovative Collaboration in Medicine & Law, FL, USA.
J Law Med Ethics. 2011 Fall;39(3):414-24. doi: 10.1111/j.1748-720X.2011.00611.x.
The prevailing wisdom is that improving patient access to physician services is essential to promoting the public's health. This article suggests that, ironically, one effect of the 2010 federal health reform legislation may be to discourage physicians from serving the statute's intended beneficiaries, thereby exacerbating the access problem. The article examines several potential approaches to addressing this problem, comparing - from legal and policy perspectives - strategies based on legal conscription of physician services versus strategies that instead would rely on incentivizing physician participation in serving otherwise access-impaired populations. The author argues in favor of the latter approach rather than one based on use of governmental force.
普遍的观点认为,改善患者获得医生服务的机会对于促进公众健康至关重要。本文认为,具有讽刺意味的是,2010 年联邦医疗改革立法的一个影响可能是阻止医生为该法规的预期受益人服务,从而加剧了获得服务的问题。本文从法律和政策的角度探讨了几种解决这一问题的潜在方法,比较了基于法律强制医生提供服务的策略与基于激励医生参与为其他服务不足的人群提供服务的策略。作者赞成后一种方法,而不是基于使用政府力量的方法。