Peters G R
Healthc Financ Manage. 1991 Dec;45(12):20-2, 24, 26 passim.
Hospitals trying for successful business cooperation with physicians have become frustrated with risky joint ventures, quick-fix recruiting plans, and management service organizations. An integrated delivery system (IDS), however, may succeed where other approaches have failed. An IDS can align physician and hospital strategic planning, command more favorable contract terms from payers, and meet community needs in recruiting physicians and allocating capital. With the healthcare payment system likely to remain chaotic, however, the value of IDS improvements to healthcare delivery remains to be seen.
试图与医生建立成功商业合作关系的医院，已经对风险较高的合资企业、权宜之计的招聘计划以及管理服务组织感到失望。然而，综合医疗服务体系（IDS）或许能在其他方法失败的领域取得成功。一个综合医疗服务体系能够使医生和医院的战略规划保持一致，从支付方争取到更有利的合同条款，并在招聘医生和分配资金方面满足社区需求。不过，鉴于医疗支付系统可能仍将处于混乱状态，综合医疗服务体系对医疗服务改善的价值还有待观察。
