Orbovich C
Hamline University, St Paul, Minnesota 55104, USA.
West J Med. 1995 Sep;163(3 Suppl):39-44.
To learn more about collaboration between family planning agencies and managed care plans, telephone interviews were conducted with staff at ten sites across the country, including offices of Planned Parenthood and other agencies. These examples of collaboration indicate that the development of each partnership is influenced by contextual factors such as the penetration of managed care into the local market, the patient profile of the clinics, government regulations, and the political environment. Although establishing relationships with family planning agencies is often not a high priority for the health plan organizations, they prefer to deal with networks of providers when the need for a family planning referral arises. Family planning agencies are increasingly moving toward expansion of services into primary care to make themselves more attractive to managed care plans. Developing strategies for sharing information while maintaining patient confidentiality represents an important challenge to family planning agencies as they move toward integration with managed care plans. Family planning providers also face obstacles because they are not usually organized to handle the complex financial and contractual issues that come with collaboration.
为了更深入了解计划生育机构与管理式医疗计划之间的合作情况，我们对全国十个地点的工作人员进行了电话访谈，这些地点包括计划生育协会办公室及其他机构。这些合作案例表明，每一种伙伴关系的发展都受到诸如管理式医疗在当地市场的渗透程度、诊所的患者情况、政府法规以及政治环境等背景因素的影响。尽管与计划生育机构建立关系对健康计划组织来说通常并非首要任务，但当有计划生育转诊需求时，它们更倾向于与医疗服务提供网络打交道。计划生育机构正日益朝着将服务扩展到初级保健领域的方向发展，以使自身对管理式医疗计划更具吸引力。在与管理式医疗计划整合的过程中，制定在维护患者隐私的同时共享信息的策略，对计划生育机构而言是一项重大挑战。计划生育服务提供者也面临障碍，因为他们通常没有组织起来处理合作中涉及的复杂财务和合同问题。
