Rotarius T M, Paolino A R, McMurrough B M, Fottler M D, Blair J D
Institute for Management and Leadership Research, Texas Tech University, Lubbock 79409, USA.
Med Group Manage J. 1995 Jul-Aug;42(4):22, 24-6, 28 passim.
This article presents an analysis of Round One data with a focus on integrated delivery systems/networks (IDS/Ns). These complex, multifaceted organizations are growing in importance in the turbulent health care industry. The emergence of these multi-organizational forms requires that all health care industry organizations--medical groups, hospitals, payer organizations, suppliers--adapt to the ever-increasing demands placed on them as the industry experiences revolutionary changes. The findings presented in this article were compiled from the responses of 580 health care industry experts about the uncertain future facing health care executives. These respondents represented virtually every health care organizational form, including medical groups, physicians, hospitals, payer organizations, academic researchers, pharmaceutical firms and other health care industry suppliers. Each of these health care respondent panels answered hundreds of questions pertaining to both the present (1994) and the future (1999). These analyses seek to describe the different relationships between medical groups, their stakeholders and IDS/Ns, and how they will change over the years of 1994 to 1999. We also present experts' perceptions and predictions about five other key stakeholders of medical groups--managed care organizations, governments, employers, system hospitals and patients.
本文对第一轮数据进行了分析，重点关注综合服务体系/网络（IDS/Ns）。这些复杂、多面的组织在动荡的医疗行业中愈发重要。这些多组织形式的出现要求所有医疗行业组织——医疗集团、医院、支付方组织、供应商——随着行业经历变革性变化，适应加诸于它们的不断增长的需求。本文呈现的研究结果是根据580位医疗行业专家对医疗行业高管所面临的不确定未来的回答汇编而成。这些受访者几乎代表了每种医疗组织形式，包括医疗集团、医生、医院、支付方组织、学术研究人员、制药公司及其他医疗行业供应商。这些医疗受访者小组中的每一组都回答了数百个与当前（1994年）和未来（1999年）相关的问题。这些分析旨在描述医疗集团、其利益相关者与IDS/Ns之间的不同关系，以及它们在1994年至1999年期间将如何变化。我们还展示了专家们对医疗集团的其他五个关键利益相关者——管理式医疗组织、政府、雇主、体系医院和患者——的看法和预测。
