Horn R
Ranier Medical Center, Seattle, WA 98118-2398.
J Health Care Poor Underserved. 1994;5(3):154-7; discussion 169-72. doi: 10.1353/hpu.2010.0463.
The advent of health care reform has brought uncertainty to the lives of underrepresented physicians and their patients. Managed care promises increased numbers of primary care physicians and fewer specialists; increased numbers of primary care physicians and fewer specialists; increased numbers of group practices and health maintenance organizations (HMOs); and combinations of health care plans and insurance plans. Solo practice fee-for-service physicians will find it more difficult to compete. Many physicians will retire or change careers; some will be left out of managed care plans altogether. To cope, underrepresented physicians must encourage the enrollment of more minorities in medical schools and residency training programs. They must become involved in the management and administration of managed care programs. They must become involved in politics. Finally, they must combine forces to become competitive in the changing health care market.
医疗保健改革的出现给代表性不足的医生及其患者的生活带来了不确定性。管理式医疗承诺增加初级保健医生的数量，减少专科医生的数量；增加团体医疗业务和健康维护组织（HMO）的数量；以及医疗保健计划和保险计划的组合。个体按服务收费的医生将发现竞争更加困难。许多医生将退休或改变职业；一些医生将完全被排除在管理式医疗计划之外。为了应对这种情况，代表性不足的医生必须鼓励更多少数族裔进入医学院和住院医师培训项目。他们必须参与管理式医疗项目的管理和行政工作。他们必须参与政治活动。最后，他们必须联合起来，以便在不断变化的医疗保健市场中具有竞争力。
