Hadley J P, Wolf L F
Office of Research and Demonstrations, HCFA, USA.
Health Care Financ Rev. 1996 Summer;17(4):1-4.
This overview discusses the importance of monitoring and evaluating the delivery of services under managed care, particularly with respect to assessing access and quality in managed care. It also lists recent Health Care Financing Administration (HCFA) initiatives in this area, and presents an introduction to the articles published in this issue of the Review. The topics addressed by these articles range from assessing and monitoring access and quality provided by traditional types of managed care organizations (MCOs) serving Medicare and Medicaid beneficiaries to issues that must be considered in developing and monitoring new delivery system models.
本综述讨论了在管理式医疗下监测和评估服务提供情况的重要性,特别是在评估管理式医疗中的可及性和质量方面。它还列出了医疗保健财务管理局(HCFA)近期在该领域的举措,并对本期《评论》发表的文章进行了介绍。这些文章所涉及的主题范围广泛,从评估和监测为医疗保险和医疗补助受益人群提供服务的传统类型管理式医疗组织(MCO)的可及性和质量,到开发和监测新的服务提供系统模式时必须考虑的问题。