来自Austin Frakt的文献检视--医院的服务量和质量的关系--是双向影响还是单向呢？
A recent paper in Health Economics by David Barker, Gary Rosenthal, and Peter Cram (ungated working paper available) provides one route to an answer and includes a literature review that provides others. They examine the relationship between volume and mortality for cardiac revascularization in specialty hospitals versus general hospitals. After controlling for the simultaneity of volume and mortality, they conclude that "specialty hospitals do not have an advantage over general hospitals in mortality rates after cardiac revascularization." Moreover, they find that mortality rates do influence volume. Therefore, efforts to increase volume may not themselves increase the quality of outcomes. Volume isn't exogenous.
一个医生、一个律师、一个经理人，创立了Open Health Market--一个在线的医疗服务匹配市场。在这里，雇主可以递交所需医疗服务的申请（团购或个体），然后对面则有Health care providers进行竞价。就好像那些卖餐饮的团购网站一样，什么"好评网"啊之类的，各家商店推出一批服务，而online medical则是购买者需求主导。 ---http://hosted.ap.org/dynamic/stories/U/US_BIDDING_ON_HEALTH?SITE=TXDAM&SECTION=HOME&TEMPLATE=DEFAULT
一个前NHS的主任死于她的手术被4次取消--因为队排得太长了，她居然也叫Margaret，撒切尔肯定会比较郁闷的。虽然是反讽，但还是同情一下吧。A former NHS director died after waiting for nine months for an operation - at her own hospital. Margaret Hutchon, a former mayor, had been waiting since last June for a follow-up stomach operation at Broomfield Hospital in Chelmsford, Essex.
