Leppert P C, Burtner C, Raines D
School of Medicine and Biomedical Sciences, State University of New York, Buffalo, USA.
J Public Health Manag Pract. 1998 Jan;4(1):82-8. doi: 10.1097/00124784-199801000-00014.
New York State's Prenatal Care Assistance Program, and enhanced care program based on public health principles, is in the process of being transformed into Medicaid managed care. The program described in this article, namely, a Medicaid managed care health maintenance organization and its interaction with one hospital's care of women, especially pregnant women, serves to illustrate how traditional public health values and managed care principles may be linked. This linkage is a starting point to developing a community's involvement in its own health, although it is too early from our experience to note a lasting effect on improved pregnancy outcomes.
纽约州的产前护理援助计划是一项基于公共卫生原则的强化护理计划，目前正在转变为医疗补助管理式医疗。本文所描述的计划，即一个医疗补助管理式医疗健康维护组织及其与一家医院对女性尤其是孕妇护理的互动，有助于说明传统公共卫生价值观与管理式医疗原则是如何联系起来的。这种联系是推动社区参与自身健康事务的一个起点，不过从我们的经验来看，现在判断其对改善妊娠结局是否会产生持久影响还为时过早。
