医疗保健领域的需求证明法：过去、现在和未来。

IF 1.7 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Inquiry-The Journal of Health Care Organization Provision and Financing Pub Date : 2024-01-01 DOI:10.1177/00469580241251937

Matthew D Mitchell

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引用次数: 0

摘要

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提供新服务或扩大现有服务的人首先向监管机构证明医疗服务是必需的。虽然该法规的倡导者为其继续存在提出了若干理由，但证据的平衡表明，这些规则保护了现有的医疗服务提供者免受竞争，牺牲了患者、支付者和潜在竞争者的利益。在本文中，我回顾了医疗保健领域 CON 法律的历史，总结了对其进行评估的大量文献，并简要勾勒了改革方案：I11、I18、H75。

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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Certificate of Need Laws in Health Care: Past, Present, and Future.

Certificate of need (CON) laws limit the supply of health care services in about two-thirds of U.S. states. The regulations require those who wish to offer new services or expand existing services to first prove to a regulator that the care is needed. While advocates for the regulation have offered several rationales for its continuance, the balance of evidence suggests that the rules protect incumbent providers from competition at the expense of patients, payors, and would-be competitors. In this article, I review the history of CON laws in health care, summarize the large literature evaluating them, and briefly sketch options for reform.JEL Classification: I11, I18, H75.

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来源期刊

Inquiry-The Journal of Health Care Organization Provision and Financing 医学-卫生保健

CiteScore

2.50

自引率

0.00%

发文量

192

审稿时长

>12 weeks

期刊介绍： INQUIRY is a peer-reviewed open access journal whose msision is to to improve health by sharing research spanning health care, including public health, health services, and health policy.