Managed cooperation, not competition: a proposal for implementing national health reform.
National health reform should be implemented in a policy framework that encourages cooperation--not competition--to promote efficiency while extending universal coverage. "Managed cooperation" is defined here as a national health system built on collaborative efforts between purchasers, providers, consumers, and government through voluntary collective action, like the structural cooperation seen in the Japanese economy between government and the private sector. Six partnerships are encouraged: (1) government-industry, (2) purchaser-provider, (3) physician-hospital, (4) public-private data sharing, (5) consumer-provider, and (6) community health. Structural and legal barriers to cooperation, such as antitrust and malpractice reform, should be reduced or eliminated to encourage collaborative initiatives under national health reform.
Coile
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RC
Health Forecasting Group, Santa Clarita, CA.
D016363:Antitrust Laws / Q000458:organization & administration; D003153:Community Health Services / Q000458:organization & administration; D016536:Competitive Medical Plans / Q000458:organization & administration; D003191:Comprehensive Health Care / Q000458:organization & administration; D003299:Cooperative Behavior; D006265:Health Care Coalitions / Q000458:organization & administration; D018166:Health Care Reform / Q000458:organization & administration*; D006759:Hospital-Physician Joint Ventures / Q000458:organization & administration; D007373:Interinstitutional Relations; D016365:Liability, Legal; D008318:Malpractice / Q000331:legislation & jurisprudence; D008329:Managed Care Programs / Q000458:organization & administration*; D017146:Models, Organizational; D014481:United States