Burns L R
Wharton School, University of Pennsylvania, USA.
Qual Manag Health Care. 1995 Summer;3(4):10-8. doi: 10.1097/00019514-199503040-00002.
This article reviews studies of the effects of medical organization structure on quality and cost conducted over the past three decades. Topics of inquiry have proceeded from the organizational to the individual provider level and from the inpatient to the ambulatory level. The article presents the findings of these studies as clues regarding the likely impact of integrated delivery systems. It also considers future areas for study in medical organization.
本文回顾了过去三十年中关于医疗组织结构对质量和成本影响的研究。研究主题已从组织层面深入到个体提供者层面，从住院医疗层面拓展到门诊医疗层面。本文将这些研究的结果作为有关整合式医疗服务体系可能产生的影响的线索呈现出来。它还考虑了医疗组织未来的研究领域。
