Weil Thomas P
J Med Pract Manage. 2012 Jul-Aug;28(1):47-50.
Although there is a vast literature concerning the virtues of hospital-physician collaborative efforts, their actual performance to date in the United States according to rigorous research studies is far less than impressive. Hospitals are usually the party most interested in initiating such alignments, but physicians, as they respond to a patient's clinical needs, control almost all healthcare expenditures. Discussions between the parties have the potential of creating serious conflicts, primarily because of the lack of trust between physicians and hospital executives. The most frequent issues that arise are those relating to the sharing of ambulatory care revenues and who will be responsible for various clinical operations.
尽管有大量关于医院与医生合作成果的文献，但根据严谨的研究，美国目前它们的实际表现远不尽如人意。医院通常是最有兴趣发起此类合作的一方，但医生在回应患者临床需求时，控制着几乎所有的医疗支出。双方之间的讨论有可能引发严重冲突，主要原因是医生与医院管理人员之间缺乏信任。最常出现的问题是与门诊护理收入的分配以及谁将负责各种临床操作有关的问题。
