Ronning P L, Beveridge R N, Ellingsen R D
Ronning Management Group, Inc, Mammoth Lakes, CA.
J Cardiovasc Manag. 1994 Sep-Oct;5(5):24-6, 28-31.
This article has examined some of the legal requirements for establishing a PHO or a SPHO. These guidelines have been presented in a generalized format. Legal counsel should be retained prior to developing a PHO to ensure that applicable legal statutes at the state, local and national level are met. Various organizational models have been presented for developing the PHO. The PHO entity allows the physicians and the hospital a single entity, representative of both parties, to locate, negotiate and enter into contracts on their behalf. The PHO can allocate revenues among the parties based on the amount of risk and services provided. There are some questions as to the long-term viability of PHOs given the regulatory changes occurring in the healthcare arena. Regardless of the regulatory changes that may occur, PHOs provide a vehicle for enhancing the relationship between a hospital and its physicians. PHOs are often a step in the process of developing a fully integrated healthcare organization. The PHO provides a forum for developing and enhancing trust and collaboration among the physicians and between the physicians and the hospital. Trust and collaboration will be key ingredients in the future as physicians and hospitals work more closely together in providing high-quality, cost-effective care that meets the patient market needs and expectations. Part Four of this series will discuss the fully integrated healthcare organization.
本文探讨了组建专业医疗组织（PHO）或专科医师专业医疗组织（SPHO）的一些法律要求。这些指导方针以通用形式呈现。在建立专业医疗组织之前，应聘请法律顾问，以确保符合州、地方和国家层面的适用法律法规。文中介绍了多种建立专业医疗组织的组织模式。专业医疗组织实体使医生和医院能够通过一个代表双方的单一实体来寻找、谈判并代表他们签订合同。专业医疗组织可以根据承担的风险和提供的服务在各方之间分配收入。鉴于医疗保健领域正在发生的监管变化，专业医疗组织的长期可行性存在一些问题。无论可能发生何种监管变化，专业医疗组织都为加强医院与其医生之间的关系提供了一种手段。专业医疗组织通常是发展完全整合的医疗保健组织过程中的一个步骤。专业医疗组织为医生之间以及医生与医院之间建立和增进信任与合作提供了一个平台。随着医生和医院在提供满足患者市场需求和期望的高质量、高性价比医疗服务方面更加紧密地合作，信任和合作将成为未来的关键要素。本系列的第四部分将讨论完全整合的医疗保健组织。
