Woodward A
Financing and Services Research Branch, National Institute on Drug Abuse, Rockville, MD 20857.
NIDA Res Monogr. 1992;127:34-53.
Managed care has become an important subject for health service research and is used increasingly by health care payers to control health care use and costs. Health services research on managed care has relevance to the evaluation of case management of persons with substance abuse problems. Two issues in managed care that are particularly relevant to case management are the lack of explicit, widely accepted criteria for managed care and the lack of demonstrated cost savings attributable to managed care. Thorough, systematic evaluative research needs to be done before these issues are well understood.
管理式医疗已成为卫生服务研究的一个重要课题，并且越来越多地被医疗保健支付方用于控制医疗保健的使用和成本。关于管理式医疗的卫生服务研究与药物滥用问题患者的病例管理评估相关。管理式医疗中与病例管理特别相关的两个问题是缺乏明确、被广泛接受的管理式医疗标准，以及缺乏可证明归因于管理式医疗的成本节约。在充分理解这些问题之前，需要进行全面、系统的评估研究。
