Department of Dermatology, University of Connecticut School of Medicine, Farmington, Connecticut, USA.
Northeast Ohio Medical University College of Medicine, Rootstown, Ohio, USA.
Clin Dermatol. 2020 May-Jun;38(3):289-295. doi: 10.1016/j.clindermatol.2020.02.003. Epub 2020 Feb 19.
Concern over the corporatization of medicine has existed since the late 1800s and continues to grow today in the face of large-scale mergers, vertical integration of health care services, and private equity (PE) investment in dermatology practices. Although academic departments have traditionally been viewed as exempt from Corporate Practice of Medicine (CPOM) laws, they face the same health care landscape and cultural pressures as private and PE-backed practices, as well as some unique financial challenges. To adapt to these difficult realities, academic dermatology has embraced new models of care, some of which mirror the controversial strategies used by PE-backed practices to maximize profit. We explore the corporatization of academic dermatology and its manifestations in changing practice patterns, patient care, education, and research.
自 19 世纪后期以来,人们一直对医学的公司化运作表示担忧,而在面对大规模合并、医疗服务的垂直整合以及私募股权投资(PE)进入皮肤科实践等情况时,这种担忧仍在持续增长。尽管学术部门传统上被认为不受《医师行医规范法》(CPOM)的约束,但它们面临着与私营和 PE 支持的实践相同的医疗保健环境和文化压力,以及一些独特的财务挑战。为了适应这些困难的现实情况,学术皮肤科已经接受了新的护理模式,其中一些模式反映了 PE 支持的实践中用于最大化利润的有争议策略。我们探讨了学术皮肤科的公司化及其在不断变化的实践模式、患者护理、教育和研究中的表现。