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管理式医疗中的信息与决策支持。

Information and decision support in managed care.

作者信息

Rontal R

机构信息

MEDSTAT Systems, Inc., Ann Arbor, MI.

出版信息

Manag Care Q. 1993 Summer;1(3):3-14.

PMID:10132063
Abstract

Employers are increasingly purchasing health care benefits based on value, as it relates to both current and future needs, and they are seeking managed care partners who are committed to continuous quality improvement. They realize that meaningful health care information provides an essential foundation to support the development and implementation of future strategies, rather than allowing change to occur by chance. The success of a managed care strategy depends on the employer's ability to monitor plan performance routinely and target opportunities for improvement; the managed care organization's commitment to maintain cost-effective, quality-conscious provider networks; and the providers' willingness to change their practice patterns to improve quality and outcomes.

摘要

雇主们越来越多地根据价值来购买医疗保健福利,因为这关乎当前和未来的需求,而且他们正在寻找致力于持续质量改进的管理式医疗合作伙伴。他们意识到,有意义的医疗保健信息为支持未来战略的制定和实施提供了重要基础,而不是让变革偶然发生。管理式医疗战略的成功取决于雇主定期监控计划绩效并确定改进机会的能力;管理式医疗组织维护具有成本效益、注重质量的供应商网络的承诺;以及供应商改变其执业模式以提高质量和成果的意愿。

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