Virginia Center for Reproductive Medicine, Reston, Virginia, USA.
Semin Reprod Med. 2013 May;31(3):211-4. doi: 10.1055/s-0033-1336602. Epub 2013 Apr 22.
Our health care system has been facing significant changes over the past 20 years with the introduction of health maintenance organizations plus the seismic changes associated with the introduction of the Patient Protection and Affordable Health Care Act and accountable care organizations. Lower reimbursements by health plans and the need for significant infrastructure investments in information technology such as electronic medical records have also put major financial and organizational strains on solo practices. Although it is unknown how these changes will have an impact on reproductive endocrinologists, consolidation and mergers seem to be on the rise in anticipation of the coming tsunami. Many solo physicians have cherished the freedom and opportunity of small practices, but it appears that the delivery system of the future will be dramatically different.
在过去的 20 年里，随着健康维护组织的引入以及与《患者保护与平价医疗法案》和问责制医疗组织相关的重大变革，我们的医疗保健系统发生了重大变化。医疗计划的报销额下降，以及在信息技术（如电子病历）方面进行重大基础设施投资的需求，也给独立执业带来了重大的财务和组织压力。尽管尚不清楚这些变化将对生殖内分泌学家产生怎样的影响，但为了应对即将到来的浪潮，整合和合并似乎正在增加。许多单独执业的医生都珍视小型诊所的自由和机会，但未来的医疗服务体系似乎将发生巨大变化。
