| 来源类型 | Book
|
| 规范类型 | 其他
|
| Regulating Health Facilities Construction |
| Clark C. Havighurst
|
| 发表日期 | 1974
|
| 出版者 | AEI Press
|
| 出版年 | 1974
|
| 语种 | 英语
|
| 摘要 | “Regulating Health Facilities Construction” contains the proceedings of a conference cosponsored by the American Enterprise Institute for Public Policy Research and the Committee on Legal Issues in Health Care, centered at Duke University School of Law. The conference, held in the summer of 1972, examined the question of the appropriateness of introducing public-utility-type regulation in the health care industry.
More than 20 states have enacted laws limiting entry into the health services industry and controlling new investments in health care facilities. These laws, stemming in part from experience with community and regional health planning, require an administrative determination of public need as a prerequisite for the introduction of new hospitals and other health care facilities or services. The main purpose of the conference was to examine the significance of the apparent similarities between this “certificate-of-need” device and the “certificate of public convenience and necessity” that has long been employed in public utility and common carrier regulation. Many of the conference participants, familiar with experience under entry regulations in other regulated industries, found it difficult to share the enthusiasm often expressed in the health care sector for this mechanism.
The conference began by examining health planning and the hazards of relying on unrestricted entry. The arguments favoring certificate-of-need laws were found to be persuasive, given existing insurance and financing mechanisms and the extent to which health care providers can inflate demand for hospital services. The success of health planners in dealing with these problems was disputed, however, and it was unclear how, if at all, health planning differs from traditional kinds of economic regulations.
Certificate-of-need laws were discussed in the second session of the conference. Experience in other industries was examined as a means of suggesting that major slippages are involved in translating a persuasive rationale for regulation into a regulatory program that adequately serves the public interest. Hospital industry support for certificate-of-need laws was noted in the context of discussing the degree to which other regulating industries have been able to obtain substantial benefits from the agencies charged with their regulation.
In the third and fourth sessions, certificate-of-need laws were found to have links to most of the health policy issues which are plaguing the nation today—such as monopoly power in the hospital industry and the need for alternative methods of controlling health care costs.
Read the full PDF. |
| 主题 | Health Care
|
| 标签 | AEI Press
; Health care costs
; Health care policy
; hospitals
|
| URL | https://www.aei.org/research-products/book/regulating-health-facilities-construction/
|
| 来源智库 | American Enterprise Institute (United States)
|
| 资源类型 | 智库出版物
|
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/207518
|
推荐引用方式
GB/T 7714 |
Clark C. Havighurst. Regulating Health Facilities Construction. 1974.
|
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