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按人头计费的慢性病管理项目:制药公司的新市场。

Capitated chronic disease management programs: a new market for pharmaceutical companies.

作者信息

Cave D G

机构信息

Express Scripts, Inc., St. Louis, MO, USA.

出版信息

Benefits Q. 1995;11(3):6-23.

Abstract

With corporatism of the medical care delivery system, the pharmaceutical industry is searching for new ways to market prescription drug product lines. A new strategy focuses on developing chronic disease management programs. In doing so, pharmaceutical companies work with clinical leaders of HMOs or large physician groups on disease management guidelines to reduce practice pattern variations and improve the quality of patient care. In addition, pharmaceutical companies capitate payment to physicians treating chronic disease patients to give them financial incentives to comply with the disease management guidelines.

摘要

随着医疗服务体系的社团主义化,制药行业正在寻找推销处方药产品线的新方法。一项新战略聚焦于开发慢性病管理项目。在此过程中,制药公司与健康维护组织(HMO)或大型医生团体的临床负责人合作制定疾病管理指南,以减少医疗实践模式的差异并提高患者护理质量。此外,制药公司向治疗慢性病患者的医生支付固定费用,给予他们经济激励以使其遵守疾病管理指南。

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