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1
Creating accountable care organizations: the extended hospital medical staff.创建责任医疗组织：扩展的医院医务人员队伍。
Health Aff (Millwood). 2007 Jan-Feb;26(1):w44-57. doi: 10.1377/hlthaff.26.1.w44. Epub 2006 Dec 5.
2
Accountable care organizations: characteristics, challenges and responses.accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为“负责医疗组织：特征、挑战与应对措施”。但在医疗领域，通常会译为“ accountable care organizations: characteristics, challenges and responses. 可直译为:负责医疗组织：特征、挑战与应对措施”。 负责医疗组织：特征、挑战与应对措施
Issues Compr Pediatr Nurs. 2011;34(2):59-61. doi: 10.3109/01460862.2011.577355.
3
ACR white paper: Strategies for radiologists in the era of health care reform and accountable care organizations: a report from the ACR Future Trends Committee.ACR 白皮书：医疗改革和责任医疗组织时代的放射科医师策略：ACR 未来趋势委员会的报告。
J Am Coll Radiol. 2011 May;8(5):309-17. doi: 10.1016/j.jacr.2011.02.011.
4
Accountable care organizations--the fork in the road.accountable care organizations——道路的分岔口。
N Engl J Med. 2011 Jan 6;364(1):e1. doi: 10.1056/NEJMp1013404. Epub 2010 Dec 22.
5
Quality/cost initiative of PPACA: an evolution in healthcare delivery?《患者保护与平价医疗法案》的质量/成本倡议：医疗服务提供的一次变革？
J Med Pract Manage. 2010 Sep-Oct;26(2):106-8.
6
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Tenn Med. 2010 Nov-Dec;103(10):5, 8.
7
Using Medicare payment policy to transform the health system: a framework for improving performance.利用医疗保险支付政策改革医疗体系：提升绩效的框架。
Health Aff (Millwood). 2009 Mar-Apr;28(2):w238-50. doi: 10.1377/hlthaff.28.2.w238. Epub 2009 Jan 27.
8
Physicians versus hospitals as leaders of accountable care organizations.作为责任医疗组织领导者的医生与医院对比
N Engl J Med. 2010 Dec 30;363(27):2579-82. doi: 10.1056/NEJMp1011712. Epub 2010 Nov 10.
9
The ABCs of ACOs. What are they and how does your hospital fit in?负责医疗保健机构的基本要素。它们是什么，以及你的医院如何与之相适应？
Hosp Health Netw. 2010 May;84(5):26, 28, 37-8.
10
Fostering accountable health care: moving forward in medicare.促进负责任的医疗保健：在医疗保险中前进。
Health Aff (Millwood). 2009 Mar-Apr;28(2):w219-31. doi: 10.1377/hlthaff.28.2.w219. Epub 2009 Jan 27.

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Accountable Care Organization Leader Perspectives on the Medicare Shared Savings Program: A Qualitative Study.责任医疗组织领导者对医疗保险共享储蓄计划的看法：一项定性研究。
JAMA Health Forum. 2024 Mar 1;5(3):e240126. doi: 10.1001/jamahealthforum.2024.0126.
2
Changes in Health Care Utilization During the First 2 Years of Massachusetts Medicaid Accountable Care Organizations.马萨诸塞州医疗补助责任医疗组织头两年期间医疗保健利用情况的变化
Popul Health Manag. 2023 Oct 30;26(6):420-9. doi: 10.1089/pop.2023.0151.
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Clinically informed machine learning elucidates the shape of hospice racial disparities within hospitals.基于临床信息的机器学习揭示了医院内部临终关怀种族差异的状况。
NPJ Digit Med. 2023 Oct 12;6(1):190. doi: 10.1038/s41746-023-00925-5.
4
Medicare Shared Savings Programs: Higher Cost Accountable Care Organizations are More Likely to Achieve Savings.医疗保险共同储蓄计划：成本较高的 accountable care 组织更有可能实现节约。 （注：Accountable Care Organization 可译为“责任医疗组织”，但此处保留英文未译，因为在专业领域可能有特定含义且未明确要求翻译，具体可视情况调整）
Int J Healthc Manag. 2020;13(sup1):248-255. doi: 10.1080/20479700.2018.1500760. Epub 2018 Aug 6.
5
Geographical Variations In Emergency Department Visits For Mental Health Conditions For Medicaid Beneficiaries.医疗补助受益人的精神健康状况在急诊科就诊的地域差异。
Health Aff (Millwood). 2023 Feb;42(2):172-181. doi: 10.1377/hlthaff.2022.00796.
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Cost of Failure to Achieve Textbook Outcomes: Association of Insurance Type with Outcomes and Cumulative Cost for Inpatient Surgery.未能达到教学目标的成本：保险类型与住院手术结果和累积成本的关联。
J Am Coll Surg. 2023 Feb 1;236(2):352-364. doi: 10.1097/XCS.0000000000000468. Epub 2022 Nov 11.
7
Impactability Modeling for Reducing Medicare Accountable Care Organization Payments and Hospital Events in High-Need High-Cost Patients: Longitudinal Cohort Study.降低高需求高花费患者医保责任医疗组织支付和医院事件发生率的可归咎性建模：纵向队列研究。
J Med Internet Res. 2022 Jun 13;24(6):e29420. doi: 10.2196/29420.
8
Association of Multiple Hospital Affiliations With Clinician Service Use, Breadth of Procedures, and Costs.多医院关联与临床医生服务利用、手术范围和费用的关联。
JAMA Netw Open. 2021 Dec 1;4(12):e2139169. doi: 10.1001/jamanetworkopen.2021.39169.
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Changes in Racial Disparities in Mortality After Cancer Surgery in the US, 2007-2016.美国 2007-2016 年癌症手术后死亡率的种族差异变化。
JAMA Netw Open. 2020 Dec 1;3(12):e2027415. doi: 10.1001/jamanetworkopen.2020.27415.
10
Financial Integration's Impact On Care Delivery And Payment Reforms: A Survey Of Hospitals And Physician Practices.金融一体化对医疗服务提供和支付改革的影响：对医院和医师执业的调查。
Health Aff (Millwood). 2020 Aug;39(8):1302-1311. doi: 10.1377/hlthaff.2019.01813.

本文引用的文献

1
Assigning ambulatory patients and their physicians to hospitals: a method for obtaining population-based provider performance measurements.将门诊患者及其医生分配至医院：一种获取基于人群的医疗服务提供者绩效测量结果的方法。
Health Serv Res. 2007 Feb;42(1 Pt 1):45-62. doi: 10.1111/j.1475-6773.2006.00633.x.
2
Hospital-physicians relations: cooperation, competition, or separation?医院与医生的关系：合作、竞争还是分离？
Health Aff (Millwood). 2007 Jan-Feb;26(1):w31-43. doi: 10.1377/hlthaff.26.1.w31. Epub 2006 Dec 5.
3
The Federal Trade Commission, clinical integration, and the organization of physician practice.联邦贸易委员会、临床整合与医师执业组织
J Health Polit Policy Law. 2006 Jun;31(3):569-85. doi: 10.1215/03616878-2005-007.
4
Is technological change in medicine always worth it? The case of acute myocardial infarction.医学领域的技术变革总是值得的吗？以急性心肌梗死为例。
Health Aff (Millwood). 2006 Mar-Apr;25(2):w34-47. doi: 10.1377/hlthaff.25.w34. Epub 2006 Feb 7.
5
Evaluating the efficiency of california providers in caring for patients with chronic illnesses.评估加利福尼亚州医疗服务提供者照料慢性病患者的效率。
Health Aff (Millwood). 2005 Jul-Dec;Suppl Web Exclusives:W5-526-43. doi: 10.1377/hlthaff.w5.526.
6
The delivery system matters.输送系统很重要。
Health Aff (Millwood). 2005 Nov-Dec;24(6):1543-8. doi: 10.1377/hlthaff.24.6.1543.
7
Variation in the tendency of primary care physicians to intervene.初级保健医生干预倾向的差异。
Arch Intern Med. 2005 Oct 24;165(19):2252-6. doi: 10.1001/archinte.165.19.2252.
8
Chronic disease care: rearranging the deck chairs.慢性病护理：重新安排座位。 （deck chair原意是折叠躺椅，这里意译为座位 ）
Ann Intern Med. 2005 Sep 20;143(6):458-9. doi: 10.7326/0003-4819-143-6-200509200-00010.
9
Posthospital medication discrepancies: prevalence and contributing factors.出院后用药差异：患病率及影响因素
Arch Intern Med. 2005 Sep 12;165(16):1842-7. doi: 10.1001/archinte.165.16.1842.
10
An empirical assessment of high-performing medical groups: results from a national study.对高效能医疗集团的实证评估：一项全国性研究的结果
Med Care Res Rev. 2005 Aug;62(4):407-34. doi: 10.1177/1077558705277389.

创建责任医疗组织：扩展的医院医务人员队伍。

Creating accountable care organizations: the extended hospital medical staff.

作者信息

Fisher Elliott S, Staiger Douglas O, Bynum Julie P W, Gottlieb Daniel J

机构信息

Dartmouth Medical School and the Center for the Evaluative Clinical Sciences, Hanover, New Hampshire, USA.

出版信息

Health Aff (Millwood). 2007 Jan-Feb;26(1):w44-57. doi: 10.1377/hlthaff.26.1.w44. Epub 2006 Dec 5.

DOI:10.1377/hlthaff.26.1.w44
PMID:17148490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2131738/
Abstract

Many current policies and approaches to performance measurement and payment reform focus on individual providers; they risk reinforcing the fragmented care and lack of coordination experienced by patients with serious illness. In this paper we show that Medicare beneficiaries receive most of their care from relatively coherent local delivery systems comprising physicians and the hospitals where they work or admit their patients. Efforts to create accountable care organizations at this level--the extended hospital medical staff--deserve consideration as a potential means of improving the quality and lowering the cost of care.

摘要

当前许多绩效评估和支付改革的政策及方法都聚焦于个体医疗服务提供者；它们有可能强化重症患者所经历的碎片化医疗和缺乏协调的状况。在本文中，我们表明医疗保险受益人接受的大部分医疗服务来自相对连贯的地方医疗服务体系，该体系由医生以及他们工作或收治患者的医院组成。在这一层面——扩大后的医院医务人员队伍——创建 accountable care organizations 的努力值得作为提高医疗质量和降低医疗成本的一种潜在手段加以考虑。 （注：“accountable care organizations”直译为“可问责医疗组织”，在医保领域有特定含义，一般意译为“责任医疗组织” ，这里保留原文未翻译是因为不确定是否有特定要求不能意译。）