McClure W
Physician Exec. 1987 Sep-Oct;13(5):7-10.
This nation's health care system is poised for change, and the purchasers of health care services will call the shots. Their decisions can make the system much better, or much worse. If they make the right moves, this nation will make a marked move forward in the quality, efficiency, and availability of care and coverage received by all Americans. If they make the wrong moves, the quality, efficiency, and accessibility of medical care and coverage will be sharply reduced. There is thus great promise as well as great danger. This article explores who must do what to ensure a good outcome, and what will happen if they don't. Because providers have a greater stake in the outcome than any other party, they have a special incentive, and obligation, to ensure that purchasers have the information they need to make appropriate buying decisions.
这个国家的医疗保健系统正准备变革，医疗保健服务的购买者将掌控局面。他们的决策能让系统变得更好，也可能变得更糟。如果他们采取正确举措，这个国家在所有美国人所接受的医疗服务质量、效率及可及性和覆盖范围方面将取得显著进步。如果他们举措不当，医疗服务和覆盖范围的质量、效率及可及性将大幅降低。因此，既充满巨大希望，也存在巨大风险。本文探讨谁必须做什么以确保有好的结果，以及如果他们不这样做会发生什么。由于医疗服务提供者在结果方面的利害关系比其他任何一方都大，他们有特别的动机和义务确保购买者获得做出恰当购买决策所需的信息。
