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管理式医疗正在发展:医生能应对挑战吗?

Managed care on the march: will physicians meet the challenge?

作者信息

Gamliel S, Politzer R M, Rivo M L, Mullan F

机构信息

Johns Hopkins University School of Hygiene and Public Health, USA.

出版信息

Health Aff (Millwood). 1995 Summer;14(2):131-42. doi: 10.1377/hlthaff.14.2.131.

Abstract

The health care delivery system in the United States is in transition. Increasingly managed care plans are gaining in predominance. The proliferation of managed care systems will have an impact on the demand and requirements for physicians. This paper attempts to project and estimate requirements for physicians in 2000 and 2020, assuming that the health care system will continue to be dominated by managed care. The projections are then compared to forecasts of physician supply under two separate physician production scenarios. The authors discuss the adequacy of the future physician workforce to provide services required by a health care system dominated by managed care.

摘要

美国的医疗保健服务体系正在转型。管理式医疗计划越来越占据主导地位。管理式医疗体系的扩散将对医生的需求和要求产生影响。本文试图预测并估算2000年和2020年的医生需求,假设医疗保健系统将继续由管理式医疗主导。然后将这些预测与两种不同医生培养方案下的医生供给预测进行比较。作者讨论了未来医生劳动力是否足以提供由管理式医疗主导的医疗保健系统所需的服务。

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