Stack R T, Lovern E R
Borgess Medical Center and Borgess Health Alliance, Kalamazoo, MI, USA.
Healthc Forum J. 1995 Sep-Oct;38(5):26-7, 29-30, 32-4.
It started with little, but telling, incidents. Like the time a utility company employee phoned the hospital to inquire about its cardiac package. Someone in the admitting office told him: "I'm not aware of any such plan, sir. By the way, what is a PPO anyway?" Then, about three years ago, an internal survey on managed care education confirmed an organization-wide knowledge gap in this area: Only 4 percent of directors and 7 percent of executives claimed to have a clear understanding of managed care. These were among the wake-up calls that became the impetus for a comprehensive education program at Borgess Medical Center, a 426-bed regional referral center in Kalamazoo, Michigan.
这一切始于一些微不足道却颇具警示意义的事件。比如，一家公用事业公司的员工打电话到医院询问其心脏护理套餐。入院处的某个人告诉他：“先生，我不清楚有这样的套餐。顺便问一下，PPO到底是什么？”然后，大约三年前，一项关于管理式医疗教育的内部调查证实了该领域存在全组织范围的知识差距：只有4%的主任和7%的高管声称对管理式医疗有清晰的理解。这些都是警钟，成为了位于密歇根州卡拉马祖的拥有426张床位的地区转诊中心博格斯医疗中心开展全面教育项目的动力。
