Morrison W H
Longshore & Simmons, Conshohocken, Pennsylvania, USA.
Healthc Financ Manage. 1999 Oct;53(10):33-6.
A national survey of 105 healthcare organizations conducted by Longshore & Simmons found that most IDSs' networks of acquired physician practices are losing money. The survey examined a variety of issues related to management and structure of IDS physician networks and physician compensation. In addition to finding that most networks were unprofitable, the survey found that for 75 percent of respondents, capitation revenue represented 25 percent or less of total revenue. The survey also disclosed there was no single, preferred method for allocating capitation revenue among physicians; 43 percent of physician networks were organized as hospital departments, cost centers, or divisions; and only 21 percent of respondents were using relative value units as a means to measure physician productivity, despite the proven effectiveness of this approach.
朗肖尔与西蒙斯公司对105家医疗保健机构进行的一项全国性调查发现，大多数整合医疗服务系统（IDS）收购的医生业务网络都在亏损。该调查研究了与IDS医生网络的管理、结构以及医生薪酬相关的各种问题。除了发现大多数网络无利可图外，调查还发现，对于75%的受访者来说，按人头收费收入占总收入的25%或更少。调查还披露，在医生之间分配按人头收费收入没有单一的首选方法；43%的医生网络被组织为医院科室、成本中心或部门；尽管这种方法已被证明有效，但只有21%的受访者使用相对价值单位来衡量医生的工作效率。
