Marshall E C
Department of Clinical Sciences, School of Optometry, Indiana University, Bloomington 47405.
J Am Optom Assoc. 1989 Nov;60(11):827-31.
The continuing evolution of competitive arrangements in the marketing and delivery of health care services can have an adverse effect upon the quality of care. Traditional modes of health care delivery are being replaced by the more competitive alternative delivery and managed care systems. Practitioners, consumers, administrators and legislators are finding it increasingly difficult to balance the various issues that surround the desire for quality and the necessity of cost containment. Optometry must be able to establish its own standards and methods of evaluation for the assurance of quality eye care within the alternative delivery and managed care systems.
医疗保健服务营销与提供方面竞争格局的持续演变，可能会对医疗质量产生不利影响。传统的医疗保健提供模式正被更具竞争性的替代服务和管理式医疗系统所取代。从业者、消费者、管理人员和立法者发现，越来越难以平衡围绕质量需求和成本控制必要性的各种问题。验光行业必须能够建立自己的标准和评估方法，以确保在替代服务和管理式医疗系统中提供高质量的眼部护理。
