Vincent D A
Community Health Networks, Inc., Barrington, IL 60010.
Health Care Strateg Manage. 1993 Sep;11(9):12-5.
The shortage of primary care physicians, the shifting roles of specialists and abundance of subspecialists are challenging hospital alliances. In the new world of managed care and managed competition, where providers assume financial risk for overutilization, management must discard traditional measures of profitability and focus on adding value. Hospitals are taking steps to become accountable health partners in smaller to mid-sized markets (two or three hospitals) by sponsoring community based direct contracting managed care networks. This type of system helps providers offer employers a local managed care alternative that is better able to demonstrate quality of care, and to control utilization through capitation and other pricing strategies.
基层医疗医生的短缺、专科医生角色的转变以及亚专科医生的大量涌现，正在给医院联盟带来挑战。在管理式医疗和管理式竞争的新时代，医疗服务提供者要为过度使用医疗服务承担财务风险，管理层必须摒弃传统的盈利能力衡量标准，转而关注增加价值。医院正在采取措施，通过赞助基于社区的直接签约管理式医疗网络，在中小规模市场（两三家医院）成为可问责的健康合作伙伴。这种系统有助于医疗服务提供者为雇主提供一种本地管理式医疗选择，这种选择更能证明医疗质量，并通过按人头付费和其他定价策略来控制医疗服务的使用。
