Felland Laurie E, Kinner J Kyle, Hoadley John F
Issue Brief Cent Stud Health Syst Change. 2003 Aug(66):1-4.
The nation's health care safety net--heavily reliant on external funding and support--is uniquely vulnerable to shifting and often adverse market and policy conditions. While adequate funding is essential to ensuring safety net providers can care for low-income people, the Center for Studying Health System Change (HSC) has identified a number of other factors key to building and maintaining viable community safety nets. Throughout the four rounds of HSC's Community Tracking Study (CTS) site visits, researchers have found that strong political and organizational leadership, community support, collaboration and business acumen have helped safety net providers build capacity and improve care coordination for low-income and uninsured people. These characteristics and business strategies have strengthened many community safety nets, better preparing them to weather current economic problems and providing a road map for the potentially tougher times ahead.
该国的医疗保健安全网——严重依赖外部资金和支持——特别容易受到不断变化且往往不利的市场和政策环境的影响。虽然充足的资金对于确保安全网提供者能够照顾低收入人群至关重要，但医疗系统变革研究中心（HSC）已经确定了建设和维持可行的社区安全网的其他一些关键因素。在HSC的四轮社区追踪研究（CTS）实地考察中，研究人员发现，强有力的政治和组织领导、社区支持、协作和商业头脑有助于安全网提供者增强能力，并改善对低收入和未参保人群的护理协调。这些特征和商业策略加强了许多社区安全网，使其能更好地应对当前的经济问题，并为未来可能更艰难的时期提供了路线图。
