BlueCross and Blue Shield of Michigan, Detroit, Michigan, USA.
Health Aff (Millwood). 2011 Apr;30(4):636-45. doi: 10.1377/hlthaff.2010.0526.
There is evidence that collaborations between hospitals and physicians in particular regions of the country have led to improvements in the quality of care. Even so, there have not been many of these collaborations. We review one, the Michigan regional collaborative improvement program, which was paid for by a large private insurer, has yielded improvements for a range of clinical conditions, and has reduced costs in several important areas. In general and vascular surgery alone, complications from surgery dropped almost 2.6 percent among participating Michigan hospitals-a change that translates into 2,500 fewer Michigan patients with surgical complications each year. Estimated annual savings from this one collaborative are approximately $20 million, far exceeding the cost of administering the program. Regional collaborative improvement programs should become increasingly attractive to hospitals and physicians, as well as to national policy makers, as they seek to improve health care quality and reduce costs.
有证据表明，医院和医生在该国特定地区之间的合作导致了医疗质量的提高。即便如此，这样的合作还是很少。我们回顾了其中一个合作，即密歇根州区域合作改进计划，该计划由一家大型私营保险公司出资，已经在一系列临床条件方面取得了改善，并在几个重要领域降低了成本。总的来说，仅在普通外科和血管外科方面，参与密歇根州医院的手术并发症就减少了近 2.6%——这意味着每年密歇根州有 2500 名手术并发症患者减少。从这个合作中节省的费用估计每年约为 2000 万美元，远远超过了管理该计划的成本。随着医院和医生以及国家政策制定者寻求提高医疗质量和降低成本，区域合作改进计划应该对他们越来越有吸引力。
