Bluml B M, Copeland L R, LeTourneau B, Mundinger M O, Nelson R, Reinhardt U
Physician Exec. 1999 Jul-Aug;25(4):67-75.
In Part 2 of this third annual panel discussion, six experts talk about the growing diversity of health care providers and what it means for consumers and physicians. Americans are getting their wellness and health care services from a wider variety of non-physician practitioners than ever before. The number of allied health and alternative providers with direct patient access is likely to continue growing. This trend is being driven by consumer demand, by the lobbying efforts of non-physician providers, and by federal, state, and private payers who see the potential for reduced health care spending, greater consumer satisfaction, and better outcomes. In practice, this means physicians and non-physician providers, some of whom may not be sanctioned by the medical establishment, are obligated to collaborate as a team. Members of this new provider team will have to communicate effectively (with each other, with consumers, and with payers) and make evidence-based clinical decisions. Physicians may have to share decision-making with other members of this new health care team.
在本次第三届年度小组讨论的第二部分中，六位专家探讨了医疗服务提供者日益多样化的情况以及这对消费者和医生意味着什么。美国人从比以往更多样化的非医生从业者那里获得健康和医疗服务。能够直接接触患者的联合健康和替代医疗服务提供者的数量可能会继续增加。这一趋势受到消费者需求、非医生提供者的游说努力以及联邦、州和私人支付方的推动，这些支付方看到了降低医疗支出、提高消费者满意度和改善治疗效果的潜力。在实践中，这意味着医生和非医生提供者（其中一些可能未得到医疗机构的认可）有义务作为一个团队进行协作。这个新的医疗服务团队的成员必须有效地沟通（彼此之间、与消费者以及与支付方）并做出基于证据的临床决策。医生可能不得不与这个新的医疗团队的其他成员分享决策权。
