普罗维登斯计划：针对自愿参保人群的预付式医疗保健。
The Providence Plan: prepaid health care for a voluntarily enrolled population.
作者信息
Newman J F, Schreiber M, Gibbs J O
出版信息
Inquiry. 1983 Summer;20(2):134-41.
In July 1979, Oregon Physicians' Service and Providence Medical Center (PMC) entered into a contract that established the Providence Plan, a prepaid health care delivery system. The most innovative feature of the plan is the method of paying for hospital service: PMC is paid a prospectively fixed amount per enrolled person per month to cover the total costs of hospital inpatient and outpatient care. From this capitation-based fund, PMC pays other hospitals for services it cannot provide directly. The Providence Plan marks the first cooperative effort in Portland between a single hospital, its active medical staff, and an insuring organization for the organization and operation of a fully functioning health care delivery system in competition with existing formal and informal delivery systems.
1979年7月，俄勒冈医师服务公司与普罗维登斯医疗中心（PMC）签订了一份合同，建立了普罗维登斯计划，这是一个预付医疗保健服务提供系统。该计划最具创新性的特点是医院服务的付费方式：PMC每月按每位参保人员收取一笔预先确定的固定金额，以支付医院 inpatient 和 outpatient 护理的全部费用。从这笔基于人头费的基金中，PMC向其他医院支付其无法直接提供的服务费用。普罗维登斯计划标志着波特兰一家医院、其在职医务人员和一家保险机构首次合作，在与现有的正式和非正式医疗服务系统竞争的情况下，组织和运营一个功能齐全的医疗保健服务提供系统。 （注：原文中inpatient和outpatient可能是专业术语，未找到准确对应中文，可根据实际医学情况调整准确中文表述）
Zotero 插件