Hargraves J Lee, Trude Sally
Center for Studying Health System Change, Washington, DC, USA.
Health Aff (Millwood). 2002 Sep-Oct;21(5):194-200. doi: 10.1377/hlthaff.21.5.194.
Large employers' roles in improving health care quality are shifting away from value-based purchasing toward direct efforts to improve health care delivery within local markets. Although most large employers adopted the tools required for value-based purchasing, inadequate information on quality has frustrated employers and limited their ability to make choices based on quality. More recent quality initiatives aimed at directly improving local health delivery systems may be limited to specific markets where the largest employers can exert substantial influence.
大型雇主在提高医疗保健质量方面所扮演的角色，正从基于价值的采购转向在当地市场直接努力改善医疗保健服务的提供。尽管大多数大型雇主采用了基于价值采购所需的工具，但质量信息不足使雇主感到沮丧，并限制了他们基于质量做出选择的能力。最近旨在直接改善当地医疗服务体系的质量倡议，可能仅限于最大雇主能施加重大影响的特定市场。
