Moore R A, Moore C, Lindley C
Vista Health Plans, San Diego, CA.
Psychiatr Hosp. 1992 Summer-Fall;23(3-4):79-82.
With the increasing pressure from managed care companies and in cooperation with its medical staff's independent practice association, the Vista Hill Foundation formed its own specialty health maintenance organization. This is a report on an outpatient study of treatment satisfaction among 124 mental healthcare providers (50% of whom were psychiatrists) and their 218 patient experiences. Treatment outcome was rated as "very satisfactory" or "satisfactory" in 82% of the studied cases. Managed care was found to cause "mild" to "moderate" treatment interference in 26% of the cases and "significant" to "major" interference in 6%. There was no interference reported in 60% of the cases studied. Our study demonstrates that a hospital provider and its managed care system can provide satisfactory care, but it also reveals the need to constantly review treatment programs to reduce interference. The study and report are part of Vista Hill Foundation's ongoing quality review efforts.
随着来自管理式医疗公司的压力不断增加，并与其医务人员的独立执业协会合作，维斯塔山基金会成立了自己的专科健康维护组织。这是一份关于对124名精神卫生保健提供者（其中50%为精神科医生）及其218名患者的门诊治疗满意度研究报告。在82%的研究病例中，治疗结果被评为“非常满意”或“满意”。在26%的病例中，发现管理式医疗造成了“轻度”至“中度”的治疗干扰，在6%的病例中造成了“显著”至“严重”的干扰。在所研究的60%的病例中未报告有干扰情况。我们的研究表明，医院提供者及其管理式医疗系统可以提供令人满意的护理，但也揭示了需要不断审查治疗方案以减少干扰。该研究和报告是维斯塔山基金会正在进行的质量审查工作的一部分。
