Zinser G R
Healthc Financ Manage. 1988 Aug;42(8):108-10.
There is no doubt that capitation contracts are risky business. There are many issues to consider carefully that have implications in every area of the healthcare industry. However, there are many additional issues that should be considered such as hospital facility capacity, incremental cost of services, physician relations, and emergency services. The contract structure and other legal issues should also be thoroughly discussed. While there will always be an element of risk in capitation arrangements, the only hope of that risk being at a reasonable and manageable level is to be prepared both financially and operationally if and when market conditions force you to consider an at-risk healthcare delivery system.
毫无疑问，按人头付费合同是有风险的业务。有许多问题需要仔细考虑，这些问题对医疗行业的各个领域都有影响。然而，还有许多其他问题也应予以考虑，例如医院设施容量、服务的增量成本、医患关系以及急诊服务。合同结构和其他法律问题也应进行充分讨论。虽然按人头付费安排总会存在一定风险因素，但要使该风险处于合理且可控水平，唯一的希望就是在市场条件迫使你考虑采用风险型医疗服务提供系统时，在财务和运营方面都做好准备。
