Rosenbaum S, Richards T B
Center for Health Policy Research, George Washington University in Washington, D.C., USA.
J Public Health Manag Pract. 1996 Summer;2(3):76-82. doi: 10.1097/00124784-199600230-00012.
This article provides an overview of managed care concepts and highlights several issues for public health practitioners. Taken from a transcription, this summary is based on a Forum on Public Health and Health Reform held in Atlanta, Georgia, on May 12, 1995, sponsored by the Public Health Practice Program Office, Centers for Disease Control and Prevention. Examples of issues related to managed care for public health practitioners discussed here include: (1) building on managed care plan report cards for large employers so they have an expanded community perspective; (2) developing report cards for Medicaid managed care plans; (3) obtaining patient encounter information from managed care plans for purposes of surveillance and epidemiologic studies; (4) adjusting provider utilization profiles to take into account the differences in the population being served; (5) linking managed care plans with specialized public health providers and community institutions; and (6) consumer surveys related to prevention and public health services.
本文概述了管理式医疗的概念，并着重指出了公共卫生从业者面临的若干问题。本摘要摘自一份文字记录，基于1995年5月12日在佐治亚州亚特兰大市举行的一场公共卫生与医疗改革论坛，该论坛由疾病控制与预防中心公共卫生实践项目办公室主办。此处讨论的与公共卫生从业者的管理式医疗相关的问题示例包括：（1）以大型雇主的管理式医疗计划报告卡为基础，使其具有更广泛的社区视角；（2）制定医疗补助管理式医疗计划的报告卡；（3）为监测和流行病学研究目的从管理式医疗计划获取患者诊疗信息；（4）调整医疗服务提供者的使用情况概况，以考虑所服务人群的差异；（5）将管理式医疗计划与专业公共卫生服务提供者及社区机构相联系；以及（6）与预防和公共卫生服务相关的消费者调查。
