Nangle M, Duncan J M
Department of Professional and Clinical Services, St. Luke's Episcopal Hospital, Houston, TX 77225-0269, USA.
Tex Heart Inst J. 1995;22(1):77-80.
While passage of a health care bill remains uncertain, the structure of health care in the United States is nonetheless changing rapidly. In some cases, physicians and hospitals are working more closely with one another to provide high-quality care at lower costs. Patients, physicians, hospitals, and insurers (including the Federal government) can all benefit from such an arrangement. We review here the experience with a program of bundled-free (physician and hospital) cardiovascular care for Medicare patients at the Texas Heart Institute at St. Luke's Episcopal Hospital in Houston, Texas.
虽然医疗保健法案的通过仍不确定，但美国医疗保健的结构正在迅速变化。在某些情况下，医生和医院正在更紧密地合作，以更低的成本提供高质量的护理。患者、医生、医院和保险公司（包括联邦政府）都可以从这种安排中受益。我们在此回顾得克萨斯州休斯顿圣卢克圣公会医院的德克萨斯心脏研究所为医疗保险患者提供的捆绑式免费（医生和医院）心血管护理项目的经验。
