Brown E R, Price W T, Cousineau M R
West J Med. 1985 Jul;143(1):118-24.
The 1982 Medi-Cal reforms and reductions established selective contracting with hospitals for inpatient care of Medi-Cal beneficiaries. The legislation established a special negotiator and criteria to be used in selecting contract hospitals. We report the findings of a study that analyzed the characteristics of contract and noncontract hospitals in Los Angeles County to assess how well these criteria were reflected in the outcome of the contracting process. We examine issues of beneficiary access to general inpatient care and to specialized services, the efficiency of contract hospitals compared with noncontract ones and quality-related issues.
1982年的医疗救助改革与削减措施确立了与医院进行选择性签约，为医疗救助受益人提供住院护理。该立法设立了一名特别谈判代表以及用于挑选签约医院的标准。我们报告一项研究的结果，该研究分析了洛杉矶县签约医院和非签约医院的特征，以评估这些标准在签约过程的结果中得到体现的程度。我们研究了受益人获得一般住院护理和专科服务的问题、签约医院与非签约医院相比的效率以及与质量相关的问题。
