携手合作？公共卫生与医疗服务提供者合作的组织及市场决定因素。
Working together? Organizational and market determinants of collaboration between public health and medical care providers.
作者信息
Halverson P K, Mays G P, Kaluzny A D
机构信息
Public Health Practice Program Office, Centers for Disease Control and Prevention, Atlanta, Ga., USA.
出版信息
Am J Public Health. 2000 Dec;90(12):1913-6. doi: 10.2105/ajph.90.12.1913.
Abstract
OBJECTIVES
This study examines organizational characteristics and market conditions likely to influence collaborative relationships between public health agencies and community medical care providers.
METHODS
Public health directors in 60 US counties were surveyed by telephone concerning their relationships with area community hospitals (n = 263) and community health centers (n = 85). Multivariate models were used to estimate the effects of organizational and market characteristics on collaboration.
RESULTS
Collaboration was reported among 55% of the hospitals and 64% of the health centers. Certain forms of collaboration were more likely in markets characterized by higher HMO penetration and lower HMO competition.
CONCLUSIONS
Targeted efforts to facilitate collaboration may be required in settings where institutional and market incentives are lacking.
摘要
目的
本研究探讨可能影响公共卫生机构与社区医疗服务提供者之间合作关系的组织特征和市场状况。
方法
通过电话对美国60个县的公共卫生主任进行调查，了解他们与当地社区医院（n = 263）和社区卫生中心（n = 85）的关系。使用多变量模型估计组织和市场特征对合作的影响。
结果
55%的医院和64%的卫生中心报告存在合作。在健康维护组织（HMO）渗透率较高且HMO竞争较低的市场中，某些形式的合作更有可能出现。
结论
在缺乏机构和市场激励措施的情况下，可能需要有针对性地努力促进合作。
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本文引用的文献
1
Performing public health functions: the perceived contribution of public health and other community agencies.履行公共卫生职能：公共卫生及其他社区机构的感知贡献
J Health Hum Serv Adm. 1996 Winter;18(3):288-303.
2
Transformations in public health systems.公共卫生系统的变革。
Health Aff (Millwood). 1998 May-Jun;17(3):64-80. doi: 10.1377/hlthaff.17.3.64.
3
The status of local health care safety nets.当地医疗安全网的状况。
Health Aff (Millwood). 1997 Jul-Aug;16(4):7-23. doi: 10.1377/hlthaff.16.4.7.
4
Not-so-strange bedfellows: models of interaction between managed care plans and public health agencies.并不奇怪的同盟者：管理式医疗计划与公共卫生机构之间的互动模式
Milbank Q. 1997;75(1):113-38. doi: 10.1111/1468-0009.00046.
5
Analysis of prevention program effectiveness with clustered data using generalized estimating equations.使用广义估计方程对聚类数据的预防项目效果进行分析。
J Consult Clin Psychol. 1996 Oct;64(5):919-26. doi: 10.1037//0022-006x.64.5.919.
6
A proposed method for assessing the performance of local public health functions and practices.一种评估地方公共卫生职能和实践绩效的提议方法。
Am J Public Health. 1994 Nov;84(11):1743-9. doi: 10.2105/ajph.84.11.1743.
7
Health reform and the health of the public. Forging community health partnerships.医疗改革与公众健康。建立社区健康伙伴关系。
JAMA. 1994 Oct 26;272(16):1276-82.
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