Hilgers D W
Hilgers & Watkins, P.C., Austin, Texas, USA.
J Health Care Finance. 1995 Spring;21(3):9-16.
Strong physician-driven delivery systems are vital to the creation of a quality medical system for the United States. To compete with employers, insurers, hospitals, and the government, physicians must consolidate. Physicians do not generally have the necessary capital, management skills, or desire to manage large organizations, however. In addition, antitrust restrictions, antireferral statutes, insurance regulation, and malpractice liability risks are major legal obstacles that restrain physicians from consolidating. The government needs to recognize the problems that federal and state laws have created for the development of physician-driven delivery systems. The benefit to the medical system by relaxing these laws will outweigh any potential risk of loss to the public.
强大的医生主导的医疗服务体系对于美国创建高质量医疗体系至关重要。为了与雇主、保险公司、医院和政府竞争，医生必须进行整合。然而，医生通常没有必要的资金、管理技能或管理大型组织的意愿。此外，反垄断限制、反转诊法规、保险监管和医疗事故责任风险是限制医生整合的主要法律障碍。政府需要认识到联邦和州法律给医生主导的医疗服务体系发展带来的问题。放宽这些法律对医疗体系的益处将超过给公众带来的任何潜在损失风险。
