Urschel H C
University of Texas Southwestern Medical School, Dallas, USA.
Ann Thorac Surg. 1995 Nov;60(5):1473-5; discussion 1490-3. doi: 10.1016/0003-4975(95)00677-D.
Reassessment of the managed care environment and restructuring of our practice will be accomplished by transitional short-term actions while we institute our long-range plan. In the short term we must develop appropriate relationships with hospitals and medical groups that interrelate to our specialty, and develop a "love our enemy" philosophy. We must establish operating organizational units that will be competitive. Reassessment of our own practice, our unique skills, our inadequacies, our competition, and our performance through outcome studies is essential to retake positions weakened by loss of contract inclusion. Long-term strategy must develop insurance coverage in conjunction with our patients in such a way that the middleman is eliminated and the profit currently extracted by managed care is reinvested in patient care, research, and education. Whoever controls payment determines the quality of medicine and how it is delivered.
在制定长期计划的同时，我们将通过过渡性短期行动来重新评估管理式医疗环境并对我们的业务进行重组。短期内，我们必须与与我们专业相关的医院和医疗集团建立适当的关系，并树立一种“爱我们的敌人”的理念。我们必须建立具有竞争力的运营组织单位。通过结果研究重新评估我们自己的业务、独特技能、不足之处、竞争对手以及我们的表现，对于夺回因合同纳入损失而削弱的地位至关重要。长期战略必须与我们的患者共同制定保险覆盖范围，以消除中间人，并将目前由管理式医疗提取的利润重新投资于患者护理、研究和教育。谁控制支付，谁就决定了医疗质量及其提供方式。
