Sharfstein S S, Beigel A
Am J Psychiatry. 1984 Nov;141(11):1403-8. doi: 10.1176/ajp.141.11.1403.
Escalating costs of medical and psychiatric care have prompted a reevaluation of the health care delivery system and practice styles. There are several "procompetition" or market-based solutions that seek to make the consumer of care more price conscious and the provider of care more cost conscious. Diagnosis-related groups (DRGs), preferred provider organizations (PPOs), the growth of for-profit hospital systems, and the expansion of health maintenance organizations (HMOs) are reshaping the organization and financing of psychiatric care. Psychiatry's adaptation to the new medical economics must emphasize the quality of patient care.
医疗和精神科护理费用的不断攀升促使人们重新评估医疗保健提供系统和执业方式。有几种“支持竞争”或基于市场的解决方案，旨在让医疗消费者更具价格意识，让医疗服务提供者更具成本意识。诊断相关分组（DRGs）、优选提供者组织（PPOs）、营利性医院系统的增长以及健康维护组织（HMOs）的扩张正在重塑精神科护理的组织和融资方式。精神病学对新医疗经济学的适应必须强调患者护理的质量。
