Gauthier A K, Rogal D L, Barrand N L, Cohen A B
Alpha Center, Washington, DC 20036.
Inquiry. 1992 Fall;29(3):308-20.
The estimates of potential savings as a result of reductions in administrative costs have generated considerable controversy. In response to this debate, the Robert Wood Johnson Foundation sponsored an invitational workshop for policymakers, health services researchers, and key stakeholders in the health care system. The workshop, conducted by the Alpha Center in February this year, provided a framework for identifying, measuring, and weighing the value of administrative costs and served as a vehicle for discussion of these issues. This article summarizes the presentations, the issues raised, and questions for further research. Overall, the papers and presentations emphasized that while the focus of attention has been on the controversy over whether particular aggregate estimates of administrative costs and potential savings are correct, the fundamental underlying issue is how the health care system might best be managed.
因行政成本降低而带来的潜在节约估计引发了相当大的争议。为回应这场辩论，罗伯特·伍德·约翰逊基金会为政策制定者、卫生服务研究人员及医疗保健系统中的关键利益相关者举办了一次邀请研讨会。今年2月由阿尔法中心举办的这次研讨会，提供了一个用于识别、衡量和权衡行政成本价值的框架，并成为讨论这些问题的一个契机。本文总结了会上的发言、提出的问题以及有待进一步研究的问题。总体而言，论文和发言强调，尽管关注焦点一直是关于行政成本和潜在节约的特定总体估计是否正确的争议，但根本的潜在问题是医疗保健系统如何才能得到最佳管理。
