Miller R J, Brass A W, Gilson T J
Children's Hospital, Columbus, OH.
Healthc Financ Manage. 1991 Jun;45(6):90, 92, 94 passim.
As health maintenance organizations (HMOs) and preferred provider organizations (PPOs) control an increasingly larger percentage of the healthcare market, many hospitals are entering capitation contracts to capture and preserve market share. A joint-venture and capitation model may provide an additional mechanism for large referral centers and community hospitals to jointly maintain or increase market share through improved service delivery. While the model includes many benefits, hospitals should thoroughly consider ramifications. Only through substantial institutional commitment, careful planning, and ongoing management will the model prove successful.
随着健康维护组织（HMOs）和优选医疗机构（PPOs）控制着越来越大比例的医疗市场，许多医院正在签订按人头付费合同以获取并保持市场份额。合资与按人头付费模式可能为大型转诊中心和社区医院提供一种额外机制，使其通过改善服务提供来共同维持或增加市场份额。虽然该模式有诸多益处，但医院应全面考虑其影响。只有通过坚定的机构承诺、精心规划和持续管理，该模式才会成功。
