Illinois Bone and Joint Institute, 9000 Waukegan Road, Morton Grove, IL 60053, USA.
Rheum Dis Clin North Am. 2019 Feb;45(1):53-66. doi: 10.1016/j.rdc.2018.09.005.
Rheumatology has evolved rapidly over the past 20 years. The availability of numerous treatment interventions has dramatically altered patient outcomes and revitalized the specialty. At the same time, the economics of medical practice is challenging the practicing rheumatologist to seek more efficient and more attractive models of care delivery. These models of care must be attractive not only to rheumatologists and their patients but also to other interested parties as well, such as payers, government agencies, and accreditation bodies.
风湿学在过去的 20 年里迅速发展。大量治疗干预措施的出现极大地改变了患者的预后，并使该专业重新焕发生机。与此同时，医疗实践的经济学也在向执业风湿病学家提出挑战，要求他们寻求更高效、更有吸引力的医疗服务模式。这些医疗服务模式不仅要对风湿病学家及其患者有吸引力，还要对其他利益相关方（如支付方、政府机构和认证机构）有吸引力。
