Krakauer H
Department of Preventive Medicine and Biometrics, Uniformed Services University School of Medicine, Washington, DC.
Manag Care Q. 1994 Autumn;2(4):71-86; discussion 87-8.
As reliance on managed care to control the cost of health care in the United States grows, clinicians and managers will come under increasing competitive and regulatory pressure to identify and adopt the strategies and interventions that are not only most economical but that also best improve the health of the populations served. Explicit criteria will be embodied in public performance reports. Clearly, in comparing the performance of firms and of individuals who provide health care, disparities in risk among the patient populations will have to be compensated.
随着美国对管理式医疗控制医疗成本的依赖程度不断提高，临床医生和管理人员将面临越来越大的竞争和监管压力，需要识别并采用不仅最经济而且能最有效地改善所服务人群健康状况的策略和干预措施。明确的标准将体现在公开的绩效报告中。显然，在比较提供医疗服务的公司和个人的绩效时，必须对患者群体之间的风险差异进行补偿。
