Moran P W
Prescott Health Care, Worcester Medical Center, Massachusetts, USA.
Psychiatr Clin North Am. 2000 Jun;23(2):383-402. doi: 10.1016/s0193-953x(05)70166-0.
Managed care is the current state of health care delivery. How to respond to managed care's provider expectations is the key issue for all mental health care professionals. The adaptive response, based on managed care's definition of value and regardless of theoretic orientation, must be clear and definitive in terms of what the provider will do; why the provider will do it; how the provider will specifically achieve patient relief; and how the provider, patient, and managed care representative will know when that change has been achieved. In the managed care era, clinicians must satisfy patients, managed care representatives, and themselves by producing a valid and effective treatment product for all parties involved in the interplay of mental health care delivery.
管理式医疗是当前医疗服务的现状。如何回应管理式医疗对医疗服务提供者的期望，是所有精神卫生保健专业人员面临的关键问题。基于管理式医疗对价值的定义，无论理论取向如何，适应性回应在医疗服务提供者将做什么、为什么要做、将如何具体实现患者病情缓解，以及医疗服务提供者、患者和管理式医疗代表将如何知晓何时实现了这种改变等方面，都必须清晰明确。在管理式医疗时代，临床医生必须通过为精神卫生保健服务互动中涉及的所有各方提供有效且高效的治疗成果，来让患者、管理式医疗代表和他们自己都满意。
