Wofford J L, Moran W P, Cohen S J, Simon R C
Department of Internal Medicine, Bowman Gray School of Medicine, Winston-Salem, NC 27157, USA.
Am J Manag Care. 1997 Dec;3(12):1851-6.
Being responsible for medical education places academic health centers at a disadvantage in competing for managed care contracts. Although many suggestions have been made for changing medical education to produce physicians who are better prepared for the managed care environment, few studies have shown how physicians in training can actually contribute to the competitiveness of an academic health center. We present three examples of engaging trainees in projects with a population-based perspective that demonstrate how quality improvement for the academic health center can be operationalized and even led by physicians in training. In addition to gaining experience in a managed care skill that is increasingly important for future employment, physicians in training can simultaneously improve the quality of care delivered through the academic health center.
负责医学教育使学术健康中心在争夺管理式医疗合同的竞争中处于劣势。尽管人们提出了许多建议，希望通过改变医学教育来培养出更能适应管理式医疗环境的医生，但很少有研究表明接受培训的医生实际上如何能够提升学术健康中心的竞争力。我们展示了三个让受训人员参与基于人群视角项目的例子，这些例子表明学术健康中心的质量改进如何能够得以实施，甚至由接受培训的医生来引领。除了获得对未来就业日益重要的管理式医疗技能方面的经验外，接受培训的医生还能同时提高通过学术健康中心提供的医疗服务质量。
