Nguyen N X, Derrick F W
International Bank for Reconstruction and Development, World Bank, Washington, DC.
Health Care Manage Rev. 1994 Winter;19(1):34-43.
Antitrust and competitive issues are intertwined with efforts to control health care costs. Whether hospital competition holds down costs is an issue of much controversy and is the topic of this article. The findings are consistent with the hypothesis that hospitals compete primarily on a nonprice basis. This suggests that a more flexible application of antitrust policy to hospital mergers will reduce cost increases and will improve efficiency. A step in this direction may be necessary if the managed care plans discussed by the Clinton administration create highly concentrated provider networks.
反垄断与竞争问题与控制医疗保健成本的努力相互交织。医院竞争是否能压低成本是一个备受争议的问题，也是本文的主题。研究结果与医院主要在非价格基础上进行竞争这一假设相符。这表明，对医院合并更灵活地应用反垄断政策将降低成本增长并提高效率。如果克林顿政府所讨论的管理式医疗计划形成高度集中的医疗服务提供网络，那么朝着这个方向迈出一步可能是必要的。
