Weil T P, Miller W H
Bedford Health Associates, Inc., Asheville, NC.
Physician Assist. 1995 Feb;19(2):63-6, 69-70, 72-4.
The American health industry is now focusing on managed care, capitated payment, and the formation of regional networks. As a result, additional cost constraints in the delivery of our nation's health services should be expected. Such proposals are also anticipated to have a major impact on PAs: (a) there will be an increased demand for qualified PAs to provide primary care services; (b) PAs will be better positioned for advancement than other health professionals despite industry-wide cost-containment efforts; and (c) most PAs can expect to practice in less "user-friendly" environments, irrespective of the implementation of the procompetitive concept of managed care or more regulatory global budgetary targets.
美国医疗行业目前正专注于管理式医疗、按人头付费以及区域网络的形成。因此，预计在提供我国医疗服务时会有更多成本限制。此类提议预计也会对执业助理医师产生重大影响：（a）对合格的执业助理医师提供初级医疗服务的需求将会增加；（b）尽管整个行业都在努力控制成本，但与其他医疗专业人员相比，执业助理医师将有更好的晋升机会；（c）无论管理式医疗的促进竞争概念或更多监管性全球预算目标是否实施，大多数执业助理医师可能会在不那么“用户友好”的环境中执业。
