Mark A, Pencheon D, Elliott R
Middlesex University Business School, Hendon, UK.
Int J Health Plann Manage. 2000 Jul-Sep;15(3):237-53. doi: 10.1002/1099-1751(200007/09)15:3<237::AID-HPM593>3.0.CO;2-P.
This paper describes and compares the development of strategies to manage demand in healthcare in the UK and the USA. It suggests that the development is revealing the need to include disciplines other than the traditional ones of economics and public health if its effects are to be understood. Using as an example the growth of telephone help lines and telephone triage, based on computer based decision support systems, it explores the idea of increasing choice and alleviating fear as a way of reducing demand. Organizational behaviour and consumer behaviour can provide wider understanding of these issues, particularly as they relate to the emotional aspects of this activity. Some convergence of the UK and USA approaches and outcomes are identified but demand is revealed as a relatively unexplored territory in the management of health care in both countries.
本文描述并比较了英国和美国医疗保健领域需求管理策略的发展情况。研究表明，如果要理解其效果，就需要纳入经济学和公共卫生等传统学科之外的其他学科。以基于计算机决策支持系统的电话求助热线和电话分诊的发展为例，探讨了增加选择和减轻恐惧作为减少需求的一种方式。组织行为学和消费者行为学可以更广泛地理解这些问题，特别是当它们涉及到这项活动的情感方面时。研究发现，英国和美国的方法及结果存在一些趋同之处，但在两国的医疗保健管理中，需求仍是一个相对未被探索的领域。
