Billi John E, Pai Chih-Wen, Spahlinger David A
University of Michigan Medical School, 1301 Catherine, Ann Arbor, MI 48109, USA.
Int J Health Plann Manage. 2007 Jul-Sep;22(3):245-53. doi: 10.1002/hpm.858.
When tertiary health centers face capacity constraint, one feasible strategy to meet service demand is outsourcing clinical services to qualified community providers. Clinical outsourcing enables tertiary health centers to meet the expectations of service timeliness and provides good opportunities to collaborate with other health care providers. However, outsourcing may result in dependence and loss of control for the tertiary health centers. Other parties involved in clinical outsourcing such as local partners, patients, and payers may also encounter potential risks as well as enjoy benefits in an outsourcing arrangement. Recommendations on selecting potential outsourcing partners are given to minimize the risks associated with an outsourcing contract.
当三级医疗中心面临能力限制时，满足服务需求的一种可行策略是将临床服务外包给合格的社区提供者。临床外包使三级医疗中心能够满足服务及时性的期望，并为与其他医疗服务提供者合作提供了良好机会。然而，外包可能导致三级医疗中心产生依赖并失去控制权。参与临床外包的其他各方，如当地合作伙伴、患者和付款人，在外包安排中也可能既面临潜在风险，又享受好处。文中给出了选择潜在外包合作伙伴的建议，以尽量减少与外包合同相关的风险。
