Audet Anne-Marie J, Kenward Kevin, Patel Shreya, Joshi Maulik S
The Commonwealth Fund, USA.
Issue Brief (Commonw Fund). 2012 Aug;22:1-12.
Accountable care organizations (ACOs) are forming in communities across the country. In ACOs, health care providers take responsibility for a defined patient population, coordinate their care across settings, and are held jointly accountable for the quality and cost of care. This issue brief reports on results from a survey that assesses hospitals' readiness to participate in ACOs. Results show we are at the beginning of the ACO adoption curve. As of September 2011, only 13 percent of hospital respondents reported participating in an ACO or planning to participate within a year, while 75 percent reported not considering participation at all. Survey results indicate that physician-led ACOs are the second most common governance model, far exceeding payer-led models, highlighting an encouraging paradigm shift away from acute care and toward primary care. Findings also point to significant gaps, including the infrastructure needed to take on financial risks and to manage population health.
accountable care organizations (ACOs) are forming in communities across the country. In ACOs, health care providers take responsibility for a defined patient population, coordinate their care across settings, and are held jointly accountable for the quality and cost of care. This issue brief reports on results from a survey that assesses hospitals' readiness to participate in ACOs. Results show we are at the beginning of the ACO adoption curve. As of September 2011, only 13 percent of hospital respondents reported participating in an ACO or planning to participate within a year, while 75 percent reported not considering participation at all. Survey results indicate that physician-led ACOs are the second most common governance model, far exceeding payer-led models, highlighting an encouraging paradigm shift away from acute care and toward primary care. Findings also point to significant gaps, including the infrastructure needed to take on financial risks and to manage population health.
全国各社区都在组建 accountable care organizations (ACOs)。在 ACOs 中，医疗服务提供者对特定的患者群体负责，跨机构协调他们的护理，并对护理质量和成本共同负责。本问题简报报告了一项评估医院参与 ACOs 准备情况的调查结果。结果表明，我们正处于 ACO 采用曲线的起点。截至 2011 年 9 月，只有 13% 的医院受访者表示参与了 ACO 或计划在一年内参与，而 75% 的受访者表示根本没有考虑参与。调查结果表明，由医生主导的 ACOs 是第二常见的治理模式，远远超过由付款人主导的模式，突出了从急性护理向初级护理转变的令人鼓舞的范式转变。研究结果还指出了重大差距，包括承担财务风险和管理人群健康所需的基础设施。
