Kissick W L
School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Health Care Manag. 1995 Oct;2(1):89-100.
As managed care becomes more common, physicians must take part in its evolution or lose their autonomy. The author proposes "the Ben Franklin scenario," which emphasizes six elements: consumer-provider choice, enrolled population, community-weighted capitation, organized practice, prospective budgets, and cost-effective health care. Prototypes for health care reform are also examined.
随着管理式医疗越来越普遍，医生必须参与其发展进程，否则将失去自主权。作者提出了“本杰明·富兰克林设想”，该设想强调六个要素：消费者与提供者的选择、参保人群、社区加权人头费、有组织的医疗服务、前瞻性预算以及具有成本效益的医疗保健。文中还审视了医疗改革的范例。
