Blum J D
Loyola University Chicago, School of Law, Institute for Health Law, IL, USA.
J Health Care Finance. 1995 Fall;22(1):60-71.
This article deals with the application of economic measures to the appointment, reappointment, and delineation of medical staff privileges, the so-called practice of economic credentialing. The concept of economic credentialing is first explored in the hospital context with a focus on legal and political issues. The second part of the article examines how economic credentialing will evolve in new managed care practice settings. Emphasis is placed on how the law and legislation will be utilized by organized medicine to protect physician interests in the process of selective contracting. Specific discussion focuses on the American Medical Association's Patient Protection Act and the implications of "any willing provider" provisions.
本文探讨了经济措施在医务人员特权的任命、重新任命及界定方面的应用，即所谓的经济资格认定实践。文章首先在医院背景下探讨经济资格认定的概念，重点关注法律和政治问题。文章的第二部分考察了经济资格认定在新的管理式医疗实践环境中将如何演变。重点在于有组织的医学界将如何利用法律和法规在选择性签约过程中保护医生的利益。具体讨论聚焦于美国医学协会的《患者保护法》以及“任何愿意提供服务的提供者”条款的影响。
