Matloff J M, Denton T A
Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Ann Thorac Surg. 1995 Nov;60(5):1476-80; discussion 1490-3. doi: 10.1016/0003-4975(95)00794-L.
The format for future cardiothoracic surgical practices includes the option of a hospital-based group where provider groups and the hospital share the responsibilities and obligations of clinical care and the cost of that care. Based on personal experience at the Cedars-Sinai Medical Center, Los Angeles, three separate contract relationships during our tenure have reflected the evolution of cardiothoracic surgeons' relationship to our patients and the hospital in which we work. Although other organizational modes may prove equally successful, the hospital-based group practice is a viable structure that supports the preservation of quality in the work performed. This relationship helps to maintain a steady volume of patients enabling research endeavors, which are primarily funded through practice incomes, to continue and it also provides a platform for networking with defined patient referrals, shared services, and bench-marking with other centers.
未来心胸外科手术实践的模式包括以医院为基础的团队模式，在这种模式下，医疗服务提供团队和医院共同承担临床护理的责任与义务以及护理费用。根据我在洛杉矶西达赛奈医疗中心的个人经验，在我们任职期间的三种不同合同关系反映了心胸外科医生与我们的患者以及我们工作的医院之间关系的演变。尽管其他组织模式可能同样成功，但以医院为基础的团队执业是一种可行的结构，有助于保持所开展工作的质量。这种关系有助于维持稳定的患者数量，使主要通过执业收入资助的研究工作得以继续，并且还提供了一个平台，用于与特定的患者转诊、共享服务以及与其他中心进行基准对比建立联系。
