Lein Catherine, Collins Clare, Lyles Judith S, Hillman Donald, Smith Robert C
College of Nursing, Michigan State University.
Fam Syst Health. 2003 Jun;21(2):205-214. doi: 10.1037/h0089607.
Managed care is now the dominant form of healthcare in the United States. The need for clinical research about the organization, delivery, and outcomes of primary care services in managed care models is high, yet access to managed care organizations as sites for clinical research may be problematic. The purpose of this article is to describe issues involved in obtaining access to managed care settings for clinical research and practical strategies for successful collaboration using literature review and case description. Three steps for developing collaborative relationships with managed care organizations (MCOs) are presented: 1) assessment of organizational structure, history, and culture; 2) finding common ground; and 3) project implementation. These steps are discussed within the context of MCO systems issues and a relationship-centered approach to communication between researchers and individuals from the MCO. Successful relationships with MCOs for clinical research are possible when careful attention is paid to inclusion of MCOs as collaborators in the development of the research questions and design, and as partners in the research implementation process.
管理式医疗如今是美国医疗保健的主导形式。对于管理式医疗模式下初级保健服务的组织、提供和结果进行临床研究的需求很高，但将管理式医疗组织作为临床研究场所可能存在问题。本文旨在通过文献综述和案例描述，阐述在获取管理式医疗环境以进行临床研究时所涉及的问题以及成功合作的实用策略。文中介绍了与管理式医疗组织（MCO）建立合作关系的三个步骤：1）评估组织结构、历史和文化；2）找到共同点；3）项目实施。这些步骤将在MCO系统问题以及研究人员与MCO人员之间以关系为中心的沟通方式的背景下进行讨论。当在研究问题和设计的制定过程中认真考虑将MCO作为合作者纳入，并在研究实施过程中作为合作伙伴时，与MCO建立成功的临床研究关系是可能的。
