University of Kentucky, Lexington, KY 40536, USA.
Acad Med. 2012 Jun;87(6):691-3. doi: 10.1097/ACM.0b013e318253cdbc.
The reality is that choice in health care may be limited or substantially curtailed in the future. To imply that the U.S. health care system can achieve the needed cost savings without such restrictions is not productive and may be potentially deceptive. Continued unfiltered, unlimited choice will only continue to drive more utilization and costs. Academic health centers (AHCs) should take a leadership role in expanding the public dialogue regarding health care reform and its likely need to limit choice at some level while preparing for the inevitable related evolution of AHCs' core clinical programs, relationships, and strategies.
现实情况是，未来医疗保健的选择可能会受到限制或大幅削减。暗示美国的医疗保健系统可以在不进行这种限制的情况下实现所需的成本节约是没有成效的，并且可能具有潜在的欺骗性。持续不受限制的、无过滤的选择只会继续推动更多的利用和成本。学术医疗中心（AHC）应该在扩大有关医疗改革的公众对话方面发挥领导作用，并在为 AHC 的核心临床项目、关系和战略的不可避免的相关演变做准备的同时，考虑在一定程度上限制选择。
