Department of Obstetrics and Gynecology, University of Connecticut, Farmington, CT, USA; Women's Health Connecticut, Avon, CT, USA; American College of Obstetricians and Gynecologists, Washington, DC, USA.
Obstet Gynecol Clin North Am. 2019 Sep;46(3):553-561. doi: 10.1016/j.ogc.2019.04.012. Epub 2019 Jun 21.
The past 40 years have witnessed a major redesign of health care, largely driven by rampantly increasing costs and the perception of lack of better outcomes to justify those costs. Many demographic changes have also challenged the women's health care provider workforce, and evolving new payment systems are likewise a source of angst for these providers. Managed care is seeking to cut costs, and the challenge is to do so without sacrificing quality. Burnout is a new challenge in the present environment. There is now an opportunity to meet these challenges and provide the excellent care our patients deserve.
在过去的 40 年里，医疗保健经历了重大的重新设计，主要是由成本的迅猛增长以及人们认为这些成本没有带来更好的结果所驱动。许多人口结构的变化也给妇女保健服务提供者的劳动力带来了挑战，不断发展的新支付系统也同样让这些提供者感到焦虑。管理式医疗正在寻求降低成本，挑战在于在不牺牲质量的情况下做到这一点。职业倦怠是当前环境中的一个新挑战。现在有机会迎接这些挑战，为我们的患者提供他们应得的卓越护理。
