Vance Ronald L, Goodspeed Ronald B
Cejka Consulting, Norcross, Georgia, USA.
J Ambul Care Manage. 2002 Oct;25(4):59-63. doi: 10.1097/00004479-200210000-00009.
Many hospitals, health systems, and large physician group practices have experienced the rise and fall of "managed care," over the past decade or so. The impact has been large and has included the rapid growth and acquisition of physician practices, followed by huge financial losses, and subsequent re-organization, divestiture, and bankruptcies. Regardless, physicians, hospitals, and health systems still face the burden of a rising demand for patient care services. Hospital-physician relationships are still crucial to the health care system. Suggestions with regard to how to analyze your local market and move forward from here to rebuild hospital-physician relationships and care systems are presented and discussed.
在过去十年左右的时间里，许多医院、医疗系统和大型医师集团都经历了“管理式医疗”的兴衰。其影响巨大，包括医师执业机构的快速增长和收购，随后是巨额财务损失，以及随后的重组、资产剥离和破产。尽管如此，医师、医院和医疗系统仍然面临着患者护理服务需求不断上升的负担。医院与医师的关系对医疗保健系统仍然至关重要。本文提出并讨论了关于如何分析当地市场以及从这里着手重建医院与医师的关系及护理系统的建议。
