Henderson T, Markus A R
Intergovernmental Health Policy Project, George Washington University, Washington, DC 20006, USA.
Health Care Financ Rev. 1996 Summer;17(4):135-42.
Managed care has brought about important changes in how the health care system is financed and services delivered. The authors describe the approaches adopted by community health centers to participate in Medicaid managed care and argue that these providers, commonly referred to as providers of last resort, have a role to play in this system. Many challenges lie ahead for these centers, such as the potential imposition of Medicaid block grants, the increasing number of uninsured persons, and cuts in both Federal grants and State budgets. These various forces may adversely impact health centers, leaving them with more uninsured patients and fewer resources.
管理式医疗已给医疗保健系统的融资方式和服务提供带来了重大变革。作者描述了社区卫生中心参与医疗补助管理式医疗所采用的方法，并认为这些通常被称为最后求助提供者的机构在该系统中可发挥作用。这些中心面临诸多挑战，比如可能实施的医疗补助整笔拨款、未参保人数的增加以及联邦拨款和州预算的削减。这些不同的因素可能对卫生中心产生不利影响，使其面临更多未参保患者且资源减少。
