Gill H S, Parpura-Gill A
Iowa Department of Human Services, Hoover State Office Building 5th Fl., Des Moines, IA 50319, USA.
Croat Med J. 1999 Jun;40(2):273-9.
The US health care delivery system, faced with an exponential increase in expenditures during the second part of the 20th century, was forced to explore ways to reduce costs and, at the same time, maintain a high quality of care. Managed care emerged as one of the answers and quickly became one of the predominant health care delivery models. While the cost of health care did go down, it remains unclear what the future holds. Currently, managed care is growing rapidly in publicly funded programs and the changes which are currently underway may be defining those programs in the time to come.
美国医疗保健服务体系在20世纪后半叶面临支出呈指数级增长的情况,被迫探索降低成本的方法,同时维持高质量的医疗服务。管理式医疗作为解决方案之一应运而生,并迅速成为主要的医疗保健服务模式之一。虽然医疗保健成本确实下降了,但未来会怎样仍不明朗。目前,管理式医疗在公共资助项目中迅速发展,当前正在进行的变革可能会在未来定义这些项目。