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醫(yī)改要向整容業(yè)學(xué)習(xí)

醫(yī)改要向整容業(yè)學(xué)習(xí)

Shawn Tully 2013-05-27
傳統(tǒng)看法認(rèn)為,在醫(yī)療服務(wù)的定價問題上,市場力量沒有用武之地。而針對整容手術(shù)行業(yè)的最新研究表明,這種看法實在錯的離譜?;颊咴绞切枰蕴脱?,整個醫(yī)療行業(yè)的效率就會越高,遭到普遍詬病的看病難、看病貴問題就能得到有效緩解。

????比如,牙齒美白和化學(xué)蛻皮術(shù)等微創(chuàng)治療基本都是由護(hù)士和理療師來完成的。內(nèi)科醫(yī)生也不必非得是住院持照整形外科醫(yī)生才能進(jìn)行人造下巴手術(shù)。而婦產(chǎn)科醫(yī)生正在成為腹部拉皮術(shù)的專家。

????而醫(yī)生們也在推銷更先進(jìn)的改良手術(shù)來獲得溢價。比如準(zhǔn)分子激光(Lasik)眼科手術(shù)。1999年每只眼睛的基本手術(shù)費是2,100美元。到了2011年,這個價格已經(jīng)跌去18%,變成1,630美元。于是眼科醫(yī)生又開發(fā)了波前像差引導(dǎo)個性化切削術(shù)(Custom Wavefront)。這種激光手術(shù)能更好地適應(yīng)病人的個性化特點,準(zhǔn)確貼合病人的眼球形狀進(jìn)行。

????波前像差引導(dǎo)個性化切削術(shù)每只眼睛的尊享費用是2,151美元——基本上和準(zhǔn)分子激光二十年前的價格水平相當(dāng)。隨著這種個性化手術(shù)的普及,很可能它的價格也會隨著競爭加劇而走低,就像當(dāng)初的準(zhǔn)分子激光的情況一樣。在眼科領(lǐng)域,很明顯新技術(shù)加上充分的競爭會帶來合理甚至是不斷下降的價格,但仍能讓醫(yī)生有充分的動力通過創(chuàng)新獲得暫時的溢價。

????市場力量在醫(yī)療領(lǐng)域也是管用的。一面大手大腳地位需求提供資助,一面束縛供應(yīng),這種管理辦法不能解決問題。是時候?qū)W學(xué)整容手術(shù)的經(jīng)驗了:消費者越是多花自己的錢,醫(yī)療保健就會變得越高效。(財富中文網(wǎng))

????譯者:清遠(yuǎn)

????For example, nurses and aestheticians perform many of the minimally invasive treatments, including teeth-whitening and chemical peels. Physicians don't need to be board certified plastic surgeons to do chin implants. And OB/GYNs are becoming experts in tummy tucks.

????Doctors are also touting enhanced and advanced procedures to garner premium prices. A case in point is Lasik eye surgery. The going rate for basic Lasik was $2,100 per eye in 1999. By 2011, the price had dropped 18% to $1,630. So ophthalmologists developed Custom Wavefront, a laser procedure that better customizes the surgery to the exact shape of the patient's eye.

????Custom Wavefront commands a premium price of $2,151 per eye –– about the same rate standard Lasik cost over two decades ago. As Wavefront grows in popularity, it's likely that competition will hold down its price, just as it did for basic Lasik. In eye care, it's clear that new technology coupled with stiff competition leads to reasonable, and even declining prices, but still gives doctors an incentive to get at least a temporary premium through innovation.

????The market will work in medicine. Rules that lavishly subsidize demand and at the same time shackle supply are not the answer. Follow the lessons from facelifts and tummy tucks: The more consumers spend their own money, the more efficient health care will become.

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