Schlenker R E, Shanks N H
J Health Polit Policy Law. 1983 Fall;8(3):598-606. doi: 10.1215/03616878-8-3-598.
This paper reviews the historical trends in the regulatory and competitive approaches to containment of health care costs, covering efforts in both public and private sectors. The current interest in the potential of private-sector initiatives to stimulate competition in health care insurance and provider markets is highlighted. Since neither the workings of competition in health care nor the role and impact of the private sector in stimulating such competition are well understood, the concluding section discusses important research issues surrounding these topics.
本文回顾了控制医疗保健成本的监管和竞争方法的历史趋势，涵盖了公共部门和私营部门的努力。文中强调了当前对私营部门举措在刺激医疗保险和医疗服务市场竞争方面潜力的关注。由于人们对医疗保健领域竞争的运作方式以及私营部门在刺激这种竞争中的作用和影响都了解不足，结论部分讨论了围绕这些主题的重要研究问题。
