Kingsdale J M
J Health Polit Policy Law. 1978 Spring;3(1):20-42. doi: 10.1215/03616878-3-1-20.
The aim of this paper is to demonstrate that the problems which arise from simultaneously developing regulatory and competitive approaches to health care cost containment can be solved, if recognized, and that those problems deserve more systematic investigation than they have so far received. It is suggested that public regulation which accommodates the special characteristics of health maintenance organizations (HMOs) allows for effective competition. Although there are formidable difficulties in formulating the appropriate regulatory strategies, there are some encouraging signs, such as the renewed commitment of the Carter Administration and Congress to the development of HMOs and the active interest of the Federal Trade Commission in health care, that future policy may minimize conflict between regulation and competition.
本文旨在表明，如果认识到同时采用监管和竞争手段来控制医疗保健成本所产生的问题，这些问题是可以解决的，而且这些问题值得比目前所得到的更系统的研究。有人认为，适应健康维护组织（HMOs）特殊特征的公共监管能够实现有效的竞争。尽管制定适当的监管策略存在巨大困难，但也有一些令人鼓舞的迹象，比如卡特政府和国会重新致力于HMOs的发展，以及联邦贸易委员会对医疗保健的积极关注，这表明未来的政策可能会尽量减少监管与竞争之间的冲突。
