Bredesen A C
Med Group Manage. 1985 Jul-Aug;32(4):58-60, 66.
In the rush to join an HMO "like everyone else is," many physicians are blindly accepting the utilization controls imposed on them. The first step a medical group should take when considering HMO involvement is a careful evaluation of group objectives and analysis of whether an HMO plan is indeed necessary for achieving goals. If so, three choices are available: the group can join an HMO owned and managed by someone else, form and manage its own HMO, or look into contract management. Contract management is a new option for medical groups and offers the opportunity for custom-designing an alternative healthcare plan without surrendering control.
在急于“像其他人一样”加入健康维护组织（HMO）的过程中，许多医生盲目地接受了强加于他们的使用控制措施。医疗集团在考虑参与健康维护组织时应采取的第一步是仔细评估集团目标，并分析健康维护组织计划对于实现目标是否确实必要。如果是这样，有三种选择：该集团可以加入由他人拥有和管理的健康维护组织，组建并管理自己的健康维护组织，或者研究合同管理。合同管理是医疗集团的一个新选择，它提供了定制替代医疗计划而不放弃控制权的机会。
