Wegmiller D C
Health One Corporation, Minneapolis, MN.
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Luke concludes his article by recommending regional system formation be permitted, even encouraged. I certainly agree with that encouragement and also agree that demonstration and evaluation projects should be initiated to determine what works and what does not work in regional system development. At the present time that information is gathered and shared on an ad hoc basis through alliances of systems, such as American Healthcare Systems. Although this ad hoc mechanism is useful, it needs to be supplemented with more research, policy initiatives, and structured evaluations. Luke has made a positive contribution with his national study, and more work of this nature will aid the development of regional systems across the United States.
卢克在其文章结尾建议允许甚至鼓励区域系统的形成。我当然赞同这种鼓励，也同意应该启动示范和评估项目，以确定在区域系统发展中哪些做法可行，哪些不可行。目前，此类信息是通过系统联盟（如美国医疗系统联盟）以临时方式收集和共享的。尽管这种临时机制很有用，但还需要更多的研究、政策举措和结构化评估来加以补充。卢克的全国性研究做出了积极贡献，更多此类性质的工作将有助于美国各地区域系统的发展。
