Quirk M P, Truscott A, Stuart M
Group Health Cooperative of Puget Sound.
Group Pract J. 1990 Jul-Aug;39(4):66-72.
Managed health care in HMOs represents an innovation for which many physicians have not had preparation to assist adjustment. Successful adjustment in the HMO draws from organizational and individual variables; the former to promote enculteration, the latter to foster a "good fit." Individual factors include the physician's personality and stage of life. This article delineates roles of individual and organizational factors and develops the former with the use of psychological methods to assist the transitioning physician during the orientation period.
健康维护组织（HMO）中的管理式医疗保健是一项创新，许多医生对此并未做好协助调整的准备。在HMO中成功进行调整取决于组织和个体变量；前者促进文化适应，后者促成“良好契合”。个体因素包括医生的个性和人生阶段。本文阐述了个体和组织因素的作用，并运用心理学方法对前者进行深入探讨，以协助处于适应期的医生顺利过渡。
