Flynn K, McGlynn G, Young G
VA Medical Center, Boston, MA 01230, USA.
Hosp Health Serv Adm. 1997 Fall;42(3):323-38.
The Under Secretary for Health asked the Health Services Research and Development (HSR&D) service to identify the managed care principles that would enable The Department of Veterans Affairs (VA) to most improve its efficiency and effectiveness while retaining its unique mission. In response to this request, HSR&D's Management Decision & Research Center (MDRC) prepared this article. This article represents the initial work done by the MDRC to determine the extent to which readily available published evidence on implementing managed care principles meets the Under Secretary's information needs and to outline potential areas for further work. It provides an overview and synthesis of existing literature. The document was prepared by the MDRC Technology Assessment Program, which took responsibility because of its expertise in systematic reviews and syntheses of the literature, with contributions from the MDRC's programs in information dissemination and management research.
卫生部副部长要求卫生服务研究与发展（HSR&D）部门确定管理式医疗原则，以使退伍军人事务部（VA）在保留其独特使命的同时，最大程度地提高效率和成效。作为对这一要求的回应，HSR&D的管理决策与研究中心（MDRC）撰写了本文。本文代表了MDRC为确定关于实施管理式医疗原则的现有公开证据在多大程度上满足副部长的信息需求以及概述进一步工作的潜在领域所做的初步工作。它提供了对现有文献的概述和综合。该文件由MDRC技术评估项目编写，该项目因其在文献系统评价和综合方面的专业知识而承担此项工作，并得到了MDRC信息传播和管理研究项目的协助。
