Department of Family Medicine and Community Health, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, New Brunswick, NJ, USA.
Health Aff (Millwood). 2012 Nov;31(11):2388-94. doi: 10.1377/hlthaff.2012.0155.
Health care reform presents academic health centers with an opportunity to test new systems of care, such as accountable care organizations (ACOs), that are intended to improve patients' health and well-being, mitigate the anticipated shortage in primary care providers, and bend the cost curve. In its ongoing efforts to develop an ACO, the Robert Wood Johnson Medical School, an academic health center, has found helpful a rapidly evolving competitive environment and insurers willing to experiment with new models of care. But the center has also encountered six types of barriers: conceptual, financial, cultural, regulatory, organizational, and historical. How this academic health center has faced these barriers offers valuable lessons to other health systems engaged in creating ACOs.
医疗改革为学术医疗中心提供了一个检验新的医疗体系的机会，如责任医疗组织（ACO），旨在改善患者的健康和福祉，缓解初级保健提供者短缺的预期，并控制成本曲线。在建立责任医疗组织的持续努力中，罗伯特伍德约翰逊医学院，一个学术医疗中心，发现一个快速发展的竞争环境和愿意尝试新的医疗模式的保险公司很有帮助。但是该中心也遇到了六种类型的障碍：概念上的、财务上的、文化上的、监管上的、组织上的和历史上的。这个学术医疗中心如何面对这些障碍，为其他参与创建责任医疗组织的医疗系统提供了宝贵的经验。
