Korenchuk K M
Davis Wright Termaine, Charlotte, NC, USA.
Healthc Financ Manage. 1997 May;51(5):38, 40-2.
Some integrated delivery systems have not been successful for a number of reasons. Substantial expenses incurred when initially purchasing physician practices, higher than anticipated operating costs, and a lack of mechanisms whereby physicians can assume leadership roles all may contribute to network failure. As a result, participants in integration efforts are continually modifying their strategies. Implementation of six specific strategies can improve the odds that integrated delivery systems will be successful: placing physicians at risk, enabling physicians to assume leadership roles and be involved in governance, strategically incorporating specialty care, managing group practices as ambulatory care businesses, building a competitive system, and continually redefining the system's strategic focus.
一些整合式医疗服务体系由于多种原因未能取得成功。最初购买医师执业机构时产生的巨额费用、高于预期的运营成本，以及缺乏让医师能担任领导角色的机制，这些都可能导致网络失败。因此，参与整合工作的各方不断调整其策略。实施六种特定策略可以提高整合式医疗服务体系取得成功的几率：让医师承担风险、使医师能够担任领导角色并参与管理、战略性地纳入专科护理、将集团执业机构作为门诊医疗业务来管理、建立竞争体系，以及不断重新定义该体系的战略重点。
