Jayaram Geetha
Dr. Jayaram is an Associate Professor at the Johns Hopkins University, Departments of Psychiatry and Health Policy and Management, Baltimore, Maryland.
Psychiatry (Edgmont). 2006 Aug;3(8):50-6.
The medical profession has always sought to govern itself through standards for teaching, patient care, and avoidance of adverse outcomes for patients. In the last decade, the burdens of self governance have greatly increased to include performance initiatives, revenue generation, and reduction of financial risks to training medical institutions. The physician advisor (PA) as a clinical leader facilitates care and cost initiatives with administrative leadership. The goal of this article is to describe the varied and complex responsibilities of such a role and ways to impact care delivery in psychiatry. Methods used to impact on patient care are described. Anticipated results through the use of systematic administrative leadership are outlined.
医学行业一直试图通过教学标准、患者护理以及避免给患者带来不良后果来进行自我管理。在过去十年中，自我管理的负担大幅增加，包括绩效倡议、创收以及降低培训医疗机构的财务风险。医师顾问（PA）作为临床领导者，与行政领导共同推动护理和成本倡议。本文的目的是描述这一角色的多样且复杂的职责，以及影响精神病学护理服务的方式。文中描述了用于影响患者护理的方法。概述了通过系统行政领导预期能取得的成果。
