Homer C G
University of Florida.
J Health Polit Policy Law. 1982 Fall;7(3):686-706. doi: 10.1215/03616878-7-3-686.
This paper examines four propositions inherent in competitive approaches to containing the growth of health care expenditures: (1) that health maintenance organizations can deliver health care less expensively than the fee-for-service system; (2) that under certain competitive conditions, HMOs would prosper; (3) that HMO successes would force FFS insurers and providers to become more efficient; and (4) that creating the competitive conditions would be politically feasible. Reasons for doubting the latter three propositions are plentiful, and the strategy is therefore judged unlikely to succeed.
（1）健康维护组织能够以比按服务收费系统更低的成本提供医疗保健服务；（2）在某些竞争条件下，健康维护组织会蓬勃发展；（3）健康维护组织的成功将迫使按服务收费的保险公司和医疗服务提供者提高效率；以及（4）创造竞争条件在政治上是可行的。对后三个命题存疑的理由众多，因此该策略被认为不太可能成功。
