Will volume-based referral strategies reduce costs or just save lives?

被引:67
作者
Birkmeyer, JD [1 ]
Skinner, JS
Wennberg, DE
机构
[1] Dartmouth Hitchcock Med Ctr, Sect Gen Surg, Lebanon, NH 03766 USA
[2] Dartmouth Coll, Hanover, NH 03755 USA
[3] Maine Med Ctr, Ctr Outcomes Res & Evaluat, Portland, ME 04102 USA
关键词
D O I
10.1377/hlthaff.21.5.234
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Although recent policy initiatives aimed at concentrating selected surgical procedures in high-volume hospitals may reduce mortality, their economic implications have not been considered fully. From the hospital perspective, the primary effect of these policies will be to redistribute surgical profits to bigger centers. From the payer perspective, prices paid for procedures will likely increase in some geographic areas. From the societal perspective, how these policies will affect the true cost of providing surgical care is uncertain, but use of discretionary procedures will likely increase. For these reasons, the primary argument for volume-based referral strategies should be improving quality, not reducing costs.
引用
收藏
页码:234 / 241
页数:8
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