Christianson J B, McClure W
N Engl J Med. 1979 Oct 11;301(15):812-8. doi: 10.1056/NEJM197910113011504.
One approach to reform of the medical-care-delivery system emphasizes the development of constructive competition among providers of health care. In this article we describe competition among providers in Minneapolis-St. Paul, one of the few areas that can provide information concerning the practicality of this type of reform. We have found that competition has helped to reduce hospitalization, contain costs and improve access to medical services. At the same time it has focused attention on consumer satisfaction with medical services, increased the range of consumer choice and given consumers better information about providers. Certain public and private measures could facilitate the development of similar competition in other communities.
医疗服务提供体系改革的一种方法强调在医疗服务提供者之间开展建设性竞争。在本文中，我们描述了明尼阿波利斯-圣保罗地区医疗服务提供者之间的竞争情况，该地区是少数几个能够提供有关此类改革可行性信息的地区之一。我们发现，竞争有助于减少住院率、控制成本并改善医疗服务的可及性。与此同时，它还使人们更加关注消费者对医疗服务的满意度，扩大了消费者的选择范围，并为消费者提供了有关医疗服务提供者的更多信息。某些公共和私人措施可以促进其他社区开展类似的竞争。
