McCutcheon J C, Schumacher D N
J.C. McCutcheon and Co.
Qual Manag Health Care. 1994 Summer;2(4):1-17.
The transformation of the health care delivery system in local, metropolitan, and regional markets is progressing rapidly. This transformation is fueled by competition, the shift of financial risk to the provider continuum, employer demands for cost containment, and the breadth and depth of state and federal government reform initiatives. However, information systems do not yet exist to support these transformations. We propose establishing a new community-level information management environment and new measures of health care system performance.
地方、大都市和区域市场的医疗服务提供系统正在迅速转型。这种转型受到竞争、财务风险向医疗服务提供连续体的转移、雇主对成本控制的要求以及州和联邦政府改革举措的广度和深度的推动。然而，目前尚不存在支持这些转型的信息系统。我们建议建立一个新的社区层面信息管理环境和医疗系统绩效的新衡量标准。
