Radiological Associates of Sacramento Medical Group, Inc, Sacramento, California 95815, USA.
J Am Coll Radiol. 2011 Mar;8(3):164-8. doi: 10.1016/j.jacr.2010.08.005.
The Patient Protection and Affordable Care Act that was signed into law in March 2010 included specific language codifying a new health care entity, the accountable care organization. The accountable care organization model is put forward as a way to increase value in health care, that is, improving outcomes as efficiently as possible. It is not known whether this concept can be applied successfully beyond the carefully selected examples where it already functions. Three general principles figure prominently in known successful models: the provision of efficient primary care, shared savings, and IT infrastructure. The authors discuss these concepts, ongoing uncertainties, and how radiologists may fit into an accountable care organization.
2010 年 3 月签署成为法律的《患者保护与平价医疗法案》包含了将一个新的医疗保健实体——责任医疗组织——编入法典的具体措辞。责任医疗组织模式被提出来作为一种提高医疗保健价值的方式，即尽可能有效地改善结果。目前尚不清楚这一概念是否可以在已经运作的精心挑选的例子之外成功应用。三个一般原则在已知的成功模式中占据突出地位：提供高效的初级保健、共享储蓄和 IT 基础设施。作者讨论了这些概念、持续存在的不确定性，以及放射科医生如何融入责任医疗组织。
