Rosenstein Alan H
J Med Pract Manage. 2015 Sep-Oct;31(2):113-6.
Healthcare reform and other externally driven healthcare initiatives have introduced a number of new healthcare requirements that are restructuring the way we provide healthcare services. With a growing focus on health plan efficiency and accountability for value-based performance metrics extending across the full spectrum of care, healthcare organizations are looking to develop new models of care to meet the needs of today's healthcare environment. Physician alignment and engagement are keys to success. But many physicians feel threatened, overwhelmed, and frustrated with the changes, and it's beginning to take its toll on physician attitudes and perspectives about care. Enhancing physician engagement requires a multistep process that includes making an effort to better understand their world; encouraging opportunities for input and participation in care redesign; providing education, training, guidance, and support; and making the effort to recognize and thank them for what they do.
医疗改革及其他外部推动的医疗举措引入了许多新的医疗要求，这些要求正在重塑我们提供医疗服务的方式。随着对健康计划效率以及贯穿整个护理领域的基于价值的绩效指标问责制的关注度不断提高，医疗组织正在寻求开发新的护理模式，以满足当今医疗环境的需求。医生的协作与参与是成功的关键。但许多医生对这些变化感到受到威胁、不堪重负且沮丧，这开始对医生对护理的态度和观点产生影响。提高医生的参与度需要一个多步骤的过程，包括努力更好地了解他们的世界；鼓励他们有机会参与护理重新设计并提供意见；提供教育、培训、指导和支持；并努力认可和感谢他们的工作。
