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通过责任医疗组织推动人口健康。

Driving population health through accountable care organizations.

机构信息

Premier Healthcare Alliance, Charlotte, North Carolina, USA.

出版信息

Health Aff (Millwood). 2011 Jan;30(1):41-50. doi: 10.1377/hlthaff.2010.0935.

DOI:10.1377/hlthaff.2010.0935
PMID:21209436
Abstract

Accountable care organizations, scheduled to become part of the Medicare program under the Affordable Care Act, have been promoted as a way to improve health care quality, reduce growth in costs, and increase patients' satisfaction. It is unclear how these organizations will develop. Yet in principle they will have to meet quality metrics, adopt improved care processes, assume risk, and provide incentives for population health and wellness. These capabilities represent a radical departure from today's health delivery system. In May 2010 the Premier healthcare alliance formed the Accountable Care Implementation Collaborative, which consists of health systems that seek to pursue accountability by forming partnerships with private payers to evolve from fee-for-service payment models to new, value-driven models. This article describes how participants in the collaborative are building models and developing best practices that can inform the implementation of accountable care organizations as well as public policies.

摘要

责任医疗组织计划成为平价医疗法案下医疗保险计划的一部分，它们被宣传为改善医疗质量、降低成本增长和提高患者满意度的一种方式。这些组织将如何发展尚不清楚。然而，原则上，它们必须达到质量指标，采用改进的护理流程，承担风险，并为人口的健康和幸福提供激励。这些能力代表了与当今医疗服务系统的根本背离。2010 年 5 月，Premier Healthcare 联盟成立了责任医疗实施合作组织，该组织由寻求通过与私人支付方建立伙伴关系，从按服务收费的支付模式向新的以价值为驱动的模式转变来追求责任的医疗系统组成。本文描述了合作组织的参与者如何构建模型和开发最佳实践，为责任医疗组织的实施以及公共政策提供信息。

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1
Driving population health through accountable care organizations.通过责任医疗组织推动人口健康。
Health Aff (Millwood). 2011 Jan;30(1):41-50. doi: 10.1377/hlthaff.2010.0935.
2
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Manag Care. 2010 Oct;19(10):12-6, 19.
3
Accountable care organizations: the case for flexible partnerships between health plans and providers.责任医疗组织：医疗计划与提供者间灵活伙伴关系的案例。
Health Aff (Millwood). 2011 Jan;30(1):32-40. doi: 10.1377/hlthaff.2010.0782.
4
Medicare program; Medicare Shared Savings Program: Accountable Care Organizations. Final rule.医疗保险计划；医疗保险共享储蓄计划： accountable care organizations。最终规则。 （注：Accountable Care Organizations 可译为“ accountable care organizations”，直译为“可问责医疗组织”，是美国医疗领域的一种组织形式，这里保留英文是因为在医保相关语境中可能有特定含义，具体翻译可根据实际情况调整更准确的表述。）
Fed Regist. 2011 Nov 2;76(212):67802-990.
5
Accountable care organizations: the proposed regulations and the prospects for success.责任医疗组织：拟议法规与成功前景。
Am J Manag Care. 2011;17(8):560-8.
6
A model for integrating independent physicians into accountable care organizations.将独立医生整合到责任制医疗组织中的模式。
Health Aff (Millwood). 2011 Jan;30(1):161-72. doi: 10.1377/hlthaff.2010.0824. Epub 2010 Dec 16.
7
Building regulatory and operational flexibility into accountable care organizations and 'shared savings'.将监管和运营灵活性纳入问责制医疗照顾组织和“共享节约”中。
Health Aff (Millwood). 2011 Jan;30(1):23-31. doi: 10.1377/hlthaff.2010.0928.
8
An opportunity for coordinated cancer care: intersection of health care reform, primary care providers, and cancer patients.协调癌症护理的机会：医疗改革、初级保健提供者和癌症患者的交集。
Cancer J. 2010 Nov-Dec;16(6):593-9. doi: 10.1097/PPO.0b013e3181feee9a.
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How the center for Medicare and Medicaid innovation should test accountable care organizations.医疗保险和医疗补助服务中心应如何测试责任医疗组织。
Health Aff (Millwood). 2010 Jul;29(7):1293-8. doi: 10.1377/hlthaff.2010.0453.
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J Allergy Clin Immunol Pract. 2014 Jan-Feb;2(1):34-9. doi: 10.1016/j.jaip.2013.09.020.

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