Pittman Patricia M, Arnold Sharon B, Schlette Sophia
AcademyHealth, Washington, DC 20006, USA.
Health Care Financ Rev. 2005 Fall;27(1):9-18.
Germany and the U.S. share a keen interest in exploring the potential of care management programs for the chronically ill. Despite obvious health system differences, in both countries there has been a proliferation of disease management models, initiated by a variety of actors, paid for in different ways, targeting different types of population groups, and encompassing a broad menu of interventions and services. Comparison of three case studies from the U.S. and four from Germany reveals greater differences among models within countries than between them.
德国和美国都对探索慢性病护理管理项目的潜力有着浓厚兴趣。尽管两国卫生系统存在明显差异,但在这两个国家,由各种行为主体发起、以不同方式付费、针对不同类型人群且包含广泛干预措施和服务的疾病管理模式都大量涌现。对美国的三个案例研究和德国的四个案例研究进行比较后发现,各国国内不同模式之间的差异大于两国之间的差异。