Keller R B, Wennberg D E, Soule D N
Maine Medical Assessment Foundation, Manchester, USA.
Qual Manag Health Care. 1997 Summer;5(4):1-11.
Methods to produce change in physician practice patterns are of increasing importance to payers and regulators as well as to physicians themselves. Because some of the strategies being adopted occur without physician input and participation, they have aroused concern in the medical community. We describe the methods used and results achieved by the Maine Medical Assessment Foundation, a nonprofit education and research organization, that has been active in practice pattern analysis since the late 1970s. The foundation has successfully engaged clinicians in a program of systematic assessment of medical care provided to residents of Maine. Significant change in practice patterns has been documented. Physicians have become active participants in the process of voluntary self-assessment, education, and quality improvement.
改变医生执业模式的方法，对于医保支付方、监管机构以及医生自身而言，正变得愈发重要。由于一些正在采用的策略是在没有医生参与和投入的情况下实施的，它们在医学界引起了关注。我们描述了缅因州医学评估基金会所采用的方法及取得的成果，该基金会是一个非营利性教育和研究组织，自20世纪70年代末以来一直积极参与执业模式分析。该基金会成功地让临床医生参与到对缅因州居民所提供医疗服务的系统评估项目中。执业模式已出现显著变化。医生们已成为自愿自我评估、教育及质量改进过程中的积极参与者。
