Petasnick William D
Froedtert & Community Health, Milwaukee, Wisconsin, USA.
Front Health Serv Manage. 2007 Fall;24(1):3-10.
The need for new venues for physician-hospital collaboration is significant and growing, especially between independent physicians and health systems. Often physicians and hospitals act independently of each other, even though maintaining and sustaining a productive relationship between physicians and hospitals is essential to good patient care and improving the health status of the communities we serve. The tension in physician-hospital relationships is a long-standing and widely acknowledged concern. The old model of hospital-physician relationships, governed by the rules of the organized medical staff structure, doesn't work in the current environment, which has grown increasingly complex as a result of economic, legal, and care-delivery changes. These complexities make relationship management challenging. Hospitals and physicians struggle to align behaviors to achieve cost and quality goals. The need has never been greater for hospitals and physicians to work together as a joint clinical enterprise to improve quality, reduce practice variation, and control the cost of healthcare. This article explores the challenges and some options for improving the physician-hospital relationship in the current environment.
医生与医院合作的新场所需求十分显著且不断增长，尤其是在独立医生与医疗系统之间。尽管医生与医院之间保持富有成效的关系对于提供优质的患者护理以及改善我们所服务社区的健康状况至关重要，但医生和医院常常各自为政。医生与医院关系中的紧张状况是一个长期存在且广为人知的问题。由有组织的医务人员结构规则所支配的医院与医生关系的旧模式，在当前环境中已行不通，由于经济、法律和医疗服务交付方面的变化，当前环境日益复杂。这些复杂性使得关系管理颇具挑战。医院和医生难以协调行为以实现成本和质量目标。医院和医生作为联合临床企业共同努力以提高质量、减少医疗实践差异并控制医疗成本的需求从未如此迫切。本文探讨了当前环境下改善医生与医院关系所面临的挑战及一些选择。
