Certificate‐of‐Need laws in healthcare: A comprehensive review of the literature

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-05-06 DOI:10.1002/soej.12698

Matthew D. Mitchell

引用次数: 0

Abstract

Certificate‐of‐Need (CON) laws limit the supply of healthcare services in about two‐thirds of U.S. states. The regulations require those who wish to open or expand their facilities to first prove that their services are needed. Once encouraged by the federal government, Congress eliminated the inducement in the 1980s and since then several states have either pared their CON programs back or eliminated them altogether. To date, there have been 128 academic assessments of CON laws and together these papers contain over 450 tests. In this paper, I review this literature, organizing the results around the most common rationales for CON laws. The accumulated evidence is overwhelming that CON laws do not achieve their purpose. Instead, the balance of evidence suggests that these regulations increase spending, reduce access to care, undermine quality, and fail to ensure care for underserved populations.

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医疗保健领域的需求证明法：文献综述

在美国约三分之二的州，需求证明（CON）法限制了医疗服务的供应。这些法规要求那些希望开设或扩大其设施的人首先证明其服务是必需的。联邦政府曾一度鼓励这种做法，但美国国会在 20 世纪 80 年代取消了这一鼓励措施，此后，一些州要么缩减了 CON 计划，要么将其完全取消。迄今为止，学术界已对 CON 法律进行了 128 次评估，这些论文共包含 450 多项测试。在本文中，我回顾了这些文献，并围绕 CON 法律最常见的理由对结果进行了整理。积累的大量证据表明，CON 法并未实现其目的。相反，大量证据表明，这些法规增加了开支，减少了医疗服务的可及性，损害了医疗质量，并且无法确保为得不到充分服务的人群提供医疗服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.