Rice J A, Isakova L, Zelckovich R, Frid E
Abt Associates Inc., Moscow, Russia.
J Health Adm Educ. 1996 Spring;14(2):205-37.
Integrated health care systems: a concept being discussed throughout Russia and the world. A concept with three different applications and a confusing interaction with the concept of "capitation payments." The health reform debate in Russia and the NIS can only advance if greater clarity is found for these concepts, and if medical leaders are prepared for the substantial changes in provider behavior that are required with integrated health care systems fueled by capitation payments. This article explores the twin concepts of capitation and integrated health care systems, and then the leadership challenges for Russian health sector managers as they prepare for these challenges of the twenty-first century.
一个正在俄罗斯乃至全世界被讨论的概念。这一概念有三种不同的应用方式，且与“按人头付费”的概念存在令人困惑的相互关系。只有当这些概念更加清晰明了，并且医疗领导者为在按人头付费推动的综合医疗保健系统下提供者行为所需的重大变化做好准备时，俄罗斯及独联体国家的医疗改革辩论才能取得进展。本文探讨了按人头付费和综合医疗保健系统这两个相关概念，以及俄罗斯医疗部门管理者在应对21世纪这些挑战时所面临的领导力挑战。
