Golembesky H E
American Clinical Management, Inc., San Francisco, USA.
Physician Exec. 1995 Oct;21(10):18-22.
New market forces--insurer integration into the provider business, "mega-mergers, price and premium reductions, a scramble to create specialty carve-out networks, and the like--have emerged that are placing significant pressure on academic medical centers. All of these forces are accelerating the pace of managed care market maturation. In order to effectively compete in this new marketplace, academic health centers have substantial barriers to overcome. To do so will require the creation of a system to manage the health care of populations while minimizing system costs and maximizing quality. This will require the establishment of a unified medical center approach to markets and value management. Academic health centers will by necessity develop strategies to include strong primary care-based network affiliations in order to accomplish these tasks.
新的市场力量已经出现，如保险公司融入医疗服务业务、“大型合并”、价格和保费降低、竞相创建专科分离网络等等，这些都给学术医疗中心带来了巨大压力。所有这些力量都在加速管理式医疗市场的成熟步伐。为了在这个新市场中有效竞争，学术健康中心有诸多重大障碍需要克服。要做到这一点，需要创建一个系统来管理人群的医疗保健，同时将系统成本降至最低并将质量最大化。这将需要建立一种统一的医疗中心市场和价值管理方法。学术健康中心必然要制定战略，包括建立强大的以初级保健为基础的网络附属关系，以便完成这些任务。
