Nemetz Peter N
Strategy and Business Economics, Sauder School of Business, University of British Columbia.
Biomed Inform Insights. 2008 Jul 23;1:21-8. doi: 10.4137/bii.s899. eCollection 2008.
This paper advances the somewhat paradoxical hypothesis that the emergence of managed care which threatens to accelerate the decline of the autopsy may, in fact, offer an opportunity for its re-emergence as an important tool of quality and cost control. A simplified autopsy-based management information structure is proposed to close the loop where information currently gleaned from the autopsy is frequently unused or underutilized in medical decision making and managed care.
本文提出了一个看似矛盾的假说，即管理式医疗的出现虽有可能加速尸检数量的下降，但实际上却可能为尸检作为质量和成本控制的重要工具而再度兴起提供契机。文中提出了一种简化的基于尸检的管理信息结构，以闭合当前从尸检中获取的信息在医疗决策和管理式医疗中常常未被使用或利用不足的环节。
