Christianson J B, Hart J P
School of Public Health, University of Minnesota, Minneapolis 55455, USA.
J Rural Health. 1997 Spring;13(2):145-51. doi: 10.1111/j.1748-0361.1997.tb00944.x.
In urban areas, employers are frequently in the forefront of efforts to implement managed care initiatives at the community level, either individually or through coalitions. While employer-driven managed care initiatives also exist in rural areas, they are less common and much less is known about them. This article describes and analyzes the early experience of a large rural employer--the state of South Dakota--in its attempt to develop and implement a managed care initiative. Several aspects of that experience suggest that employer-driven managed care models in urban sites may require reexamination and redefinition for implementation in rural areas.
在城市地区，雇主们常常处于在社区层面实施管理式医疗举措努力的前沿，无论是单独行动还是通过联合组织。虽然农村地区也存在雇主推动的管理式医疗举措，但它们不太常见，人们对其了解也少得多。本文描述并分析了南达科他州这个大型农村雇主在尝试开发和实施管理式医疗举措方面的早期经验。该经验的几个方面表明，城市地区由雇主推动的管理式医疗模式可能需要重新审视和重新定义，以便在农村地区实施。
