Zubialde J P, Mold J W
Department of Family and Preventive Medicine, University of Oklahoma, Oklahoma City 73104, USA.
Fam Med. 2001 May;33(5):393-8.
Since its inception, family medicine has understood the importance of a holistic approach to health care and the benefits stemmingfrom integrating health care resources. This approach and its benefits have not, however, been fully appreciated by consumers, payers, and policy makers, especially in today's dynamic marketplace. Articulating the benefits of an integrated approach is more likely to be effective if done in the language of the marketplace and in a framework that helps them understand the critical importance of relationships that are needed for integrating consumers' needs with resources in systems. By using the concept of "value" recognized within the marketplace, this article creates a new framework for visualizing integration and relationships. It then embodies the benefits within a new term called relational value. With this concept and terminology, primary care physicians should be able to more effectively communicate to administrators and policy makers the added value of a holistic approach. Lastly, two ideas for creating relational value are discussed to help point the way to new health care delivery models.
自创立以来，家庭医学就深知采用整体方法进行医疗保健的重要性以及整合医疗资源所带来的益处。然而，消费者、支付方和政策制定者并未充分认识到这种方法及其益处，尤其是在当今充满活力的市场环境中。如果以市场语言并在一个有助于他们理解将消费者需求与系统中的资源整合所需关系的至关重要性的框架内来阐述整合方法的益处，可能会更有成效。通过运用市场中公认的“价值”概念，本文创建了一个用于可视化整合及关系的新框架。然后，将这些益处体现在一个名为关系价值的新术语中。借助这一概念和术语，初级保健医生应能够更有效地向管理人员和政策制定者传达整体方法的附加价值。最后，讨论了两个创造关系价值的想法，以帮助指明通往新的医疗服务模式的方向。
