Department of Public Health, Weill Cornell Medical College, 402 E 67th St, New York, NY 10065, USA.
Am J Manag Care. 2012 Dec;18(12):778-80.
Accountable care organizations (ACOs) are considered by many to be a key component of healthcare delivery system improvement. One expectation is that the structural elements of the ACO model, including clinical integration and financial accountability, will lead to better coordination of care for patients. But, while structure and incentives may facilitate the delivery of coordinated care, they will not necessarily ensure that care coordination is done well. For that, physicians and other healthcare providers within ACOs must possess and utilize specific skills, particularly in the areas of collaboration, communication, and teamwork. In this article, we present strategies in 3 domains--training, support tools, and organizational culture--that ACOs can implement to foster the development of these skills and support their use in clinical practice.
责任医疗组织（ACO）被许多人认为是改善医疗服务系统的关键组成部分。人们期望 ACO 模式的结构要素，包括临床整合和财务责任，将导致患者护理的更好协调。但是，虽然结构和激励措施可能有助于协调护理的提供，但它们不一定能确保护理协调得很好。为此，ACO 中的医生和其他医疗保健提供者必须具备并运用特定技能，特别是在协作、沟通和团队合作方面。在本文中，我们提出了 3 个领域的策略——培训、支持工具和组织文化——ACO 可以实施这些策略来培养这些技能，并支持它们在临床实践中的应用。
