Davidson R C
J Fam Pract. 1986 Sep;23(3):275-8.
The mechanisms by which health care providers in the United States are reimbursed for their services are undergoing dynamic and rapid changes. Traditional fee-for-service payment schemes as the predominant reimbursement methods are declining and are being supplanted by a plethora of different schemes that incorporate prepayment as the mode of compensation for service. A number of trends over the past decade predict that this transference to prepayment will continue in the future and will have a profound impact on the future practice of family medicine. It is important for family medicine educators and practicing family physicians to understand these market forces and trends so they will be better able to alter their training programs and future practices to meet future needs.
美国医疗服务提供者的服务报销机制正在经历动态且快速的变化。作为主要报销方式的传统按服务收费支付方案正在减少，并正被大量不同的方案所取代，这些方案将预付款作为服务补偿模式。过去十年的一些趋势预测，这种向预付款的转变在未来将持续，并将对家庭医学的未来实践产生深远影响。家庭医学教育工作者和执业家庭医生了解这些市场力量和趋势很重要，这样他们就能更好地改变其培训计划和未来实践，以满足未来需求。
