Medicine Institute, G1-055, Cleveland Clinic,OH 44195, USA.
Cleve Clin J Med. 2011 Sep;78(9):571-82. doi: 10.3949/ccjm.78gr.11003.
Medical care in the United States is plagued by extremely high costs, poor quality, and fragmented delivery. In response, new concepts of integrated health care delivery have developed, including patient-centered medical homes and accountable care organizations (ACOs). This article reviews these concepts and includes a detailed discussion of the Centers for Medicare and Medicaid Services' ACO and Shared Savings Proposed Rule.
美国的医疗保健服务存在费用极高、质量低下和服务分散等问题。针对这些问题，出现了一些新的医疗服务整合理念，包括以患者为中心的医疗之家和责任医疗组织（ACO）。本文对这些理念进行了综述，并详细讨论了医疗保险和医疗补助服务中心（Centers for Medicare and Medicaid Services）的 ACO 和共享储蓄提案规则。
