health insurance;
innovation;
medical management;
transaction costs;
D O I:
10.1097/00004010-200104000-00010
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:
Health care is, at its core, comprised of complex: sequences of transactions among patients, providers, and other st stakeholders; these transactions occur in markets as well as within systems and organizations. Health care transactions serve one of two functions: the production of care (i.e., the laying on of hands) or the coordination of that cave (i.e., scheduling, logistics). Because coordinating transactions is integral to care delivery, it is imperative that they ave executed smoothly and efficiently. Transaction cost economics (TCE) is a conceptual framework for analyzing health care transactions and quantifying their impact on health cave structures (organizational forms), processes, and outcomes.