Hongsermeier T, Mitus A J
InterQual, Inc., Marlborough, MA, USA.
J Cardiovasc Manag. 1997 Mar-Apr;8(2):27-9.
Confusion abounds regarding what constitutes a minimum standard of primary-care management and when it is appropriate to refer. Regardless of the cost-containment methods employed, financial-incentive models applied in the absence of clinical appropriateness criteria may result in implicit rationing of healthcare services. Software-embedded clinical criteria are essential in these changing times.
对于什么构成初级保健管理的最低标准以及何时转诊合适,存在诸多困惑。无论采用何种成本控制方法,在缺乏临床适用性标准的情况下应用财务激励模式可能会导致医疗服务的隐性配给。在这些不断变化的时代,嵌入软件的临床标准至关重要。