Christianson J, Dowd B, Kralewski J, Hayes S, Wisner C
Institute for Health Services Research, University of Minnesota, USA.
Health Aff (Millwood). 1995 Summer;14(2):114-30. doi: 10.1377/hlthaff.14.2.114.
Minneapolis/St. Paul, because of its history of health maintenance organization development and active employer participation in the health care arena, is often cited as a community in which managed competition has been tested to some degree. This paper reviews the historical development of the Twin Cities health care market and summarizes findings from past studies of this market. It also describes the recent consolidation of providers in the Twin Cities, as well as the activities of large purchasing coalitions. Finally, it assesses the elements of the Twin Cities experience that seem most relevant to managed competition-based health care reform proposals.
明尼阿波利斯/圣保罗市因其健康维护组织的发展历史以及雇主在医疗保健领域的积极参与，常被视为一个在某种程度上对管理式竞争进行过检验的社区。本文回顾了双城医疗保健市场的历史发展，并总结了以往对该市场研究的结果。它还描述了双城近期医疗服务提供商的合并情况以及大型采购联盟的活动。最后，它评估了双城经验中与基于管理式竞争的医疗改革提议最为相关的要素。
