Hartley D, Jackson J, Mueller K J, Nichols A, Williams V
Division of Rural Health, Edmund S. Muskie School of Public Service, University of Southern Maine, Portland 04104-9300, USA.
J Rural Health. 1999 Winter;15(1):87-93. doi: 10.1111/j.1748-0361.1999.tb00602.x.
In 1994, the Agency for Health Care Policy and Research awarded cooperative agreements to five University-based groups to promote the establishment of managed care institutions and development of rural health networks. This paper summarizes the experiences of these rural managed care centers in the first three years of this initiative. Key ingredients for achieving the project's goals that are identified by the project directors are reported as "foundations" that must be in place from the outset, or "building blocks" that can be developed along the way. The development of information systems and efforts to foster leadership in the medical community are areas in which grant funding of this type can be most effective.
1994年，医疗保健政策与研究机构向五个大学研究团队授予了合作协议，以推动管理式医疗机构的建立和农村医疗网络的发展。本文总结了这些农村管理式医疗中心在该项目头三年的经验。项目负责人确定的实现项目目标的关键要素被报告为必须从一开始就具备的“基础”，或可在实施过程中逐步形成的“基石”。信息系统的开发以及在医学界培养领导力的努力是这类资助最为有效的领域。
