医疗保健需要法律的证书:过去,现在和未来
1Knee Regulatory Research Center at West Virginia University, Morgantown, WV, USA.
概括
医疗保健中的需要证书 (CON) 法律限制了服务的扩张. 有证据表明,这些法规主要有利于现有提供者,可能会损害患者的访问权限并增加成本.
科学领域:
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
- 医疗保健条例 医疗保健条例
背景情况:
- 需要证书 (CON) 法律在美国36个州普遍存在.
- 这些法律要求对新的或扩展的医疗保健服务进行监管批准.
研究的目的:
- 审查历史背景并评估围绕CON法律的证据.
- 分析CON法规对医疗保健市场和利益相关者的影响.
主要方法:
- 对评估CON规律的研究进行文献综述.
- 对CON立法及其演变的历史分析.
- 在CON下对市场竞争和供应商行为进行经济分析.
主要成果:
- CON法律往往保护现有提供商免受竞争的影响.
- 有证据表明,CON法规可能会对患者获得医疗服务产生负面影响,并增加医疗保健成本.
- 对于CON法律的理由往往被反竞争效应的证据所压倒.
结论:
- CON法律可能无法实现其确保所需服务的声明目标.
- 需要进行改革,以减轻反竞争效应,改善医疗保健准入.
- 进一步的研究应该探索替代的监管模式.
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