Holt M W
Physician Exec. 1989 Jan-Feb;15(1):21-5.
In general, utilization of health care resources translates into physician income. In both a capitated and a fee-for-service environment, the physician is reimbursed for patient care. The reimbursement structures of these two systems is quite different, however, and this difference creates a perplexing reward system for the physician. This article has two goals: To focus on the decision-making process of physicians in a mixed fee-for-service/HMO environment and the potential for cognitive dissonance in this system. To propose an approach for physician leaders in this setting to not only manage and minimize cognitive dissonance, but also strategically position their group for a successful future.
一般来说，医疗保健资源的利用转化为医生的收入。在按人头付费和按服务收费的环境中，医生都会因提供患者护理而获得报销。然而，这两种系统的报销结构有很大不同，这种差异为医生创造了一个令人困惑的奖励系统。本文有两个目标：关注在混合按服务收费/健康维护组织（HMO）环境中医生的决策过程以及该系统中认知失调的可能性。提出一种方法，让处于这种环境中的医生领导者不仅能够管理并尽量减少认知失调，还能从战略上为其团队定位以迎接成功的未来。
