医疗保健联盟：特征、活动与前景。

Health care coalitions: characteristics, activities, and prospects.

作者信息

McLaughlin C G, Zellers W K, Brown L D

机构信息

Department of Health Services Management and Policy, School of Public Health, University of Michigan, Ann Arbor.

出版信息

Inquiry. 1989 Spring;26(1):72-83.

PMID:2523348

Abstract

Health care coalitions are an important element in the 1980s' emphasis on private sector cost-containment initiatives. The peak years for the formation of these coalitions were 1982 and 1983. Based on a 1986 telephone survey of 215 health care coalitions, we provide an analysis of the maturing health care coalition movement, focusing on who is in them, what they do, how they are doing, and what they have accomplished. We also propose two life-cycle models that describe most coalitions. One model fits the temporary, outcome-oriented employer-only coalitions, while the second fits the more process-oriented broad-based coalitions. Our data, along with more recent information, suggest that at present the coalition movement is in decline.

摘要

医疗保健联盟是20世纪80年代强调私营部门成本控制举措的一个重要组成部分。这些联盟形成的高峰期是1982年和1983年。基于1986年对215个医疗保健联盟的电话调查，我们对成熟的医疗保健联盟运动进行了分析，重点关注联盟中有哪些成员、他们做什么、做得如何以及取得了哪些成就。我们还提出了两个生命周期模型来描述大多数联盟。一个模型适用于临时的、以结果为导向的仅由雇主组成的联盟，而第二个模型适用于更注重过程的基础广泛的联盟。我们的数据以及最新信息表明，目前联盟运动正在衰落。