McLaughlin C P
Kenan-Flagler Business School, School of Public Health, University of North Carolina, Chapel Hill, USA.
Qual Manag Health Care. 1998 Fall;7(1):38-46. doi: 10.1097/00019514-199807010-00005.
Though idiosyncratic, the system for controlling managed care in the United States is surprisingly robust. This article reviews the mechanisms available to providers, patients, insurers, and governments to assess ongoing quality of care. It suggests that those contracting for care use the Donabedian Matrix to assess where contracts are strong and where the provisions are weak.
尽管独具特色，但美国管理式医疗的控制系统却出奇地强大。本文回顾了医疗服务提供者、患者、保险公司和政府可用来评估持续医疗质量的机制。文章建议，参与医疗服务合同的各方使用唐纳贝迪安模型来评估合同的优势与不足。
