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在过去的十年内,在美国的医疗护理领域里出现了一种私人的“工业综合企业”对官方政策产生了巨大的潜在影响。我这里所说的“新型医疗-工业综合企业”是指规模庞大,处于发展阶段中的私人合作企业网。这些企业网为了盈利而向病人提供医疗护理服务项目。私人医院在美国,私人医院无疑不是新生事物。自十九世纪以来,许多小医院和诊所属医师所有,其主要目的是为他们提供开业行医的场所。事实上,直至本世纪初不久,美国的大多数医院都是私人医院。当时规模较大,设备较为复杂的社区医院或教堂所有的非盈利性机构开始取代属医生所有的小医院,本世纪上半叶,美国私人医院的总数急剧减小。1928年,共有2,435家私人医院,占各类
In the past decade, a private “industrial complex” emerged in the medical care field in the United States, which had a huge potential impact on official policies. The “new type of medical-industrial complex enterprise” I am referring to here refers to a large-scale, private cooperative enterprise network in the development stage. These corporate networks provide medical care services to patients for profit. Private hospitals in the United States, private hospitals are undoubtedly not new. Since the 19th century, many small hospitals and clinics are owned by doctors. Its main purpose is to provide them with places to practice medicine. In fact, until the beginning of this century, most hospitals in the United States were private hospitals. At the time, the large scale, complex community hospitals or all the non-profit institutions of churches began to replace small hospitals owned by doctors. In the first half of this century, the total number of private hospitals in the United States drastically decreased. In 1928, there were 2,435 private hospitals, accounting for various types of