Denton T A, Matloff J M
Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Ann Thorac Surg. 1995 Nov;60(5):1522-5. doi: 10.1016/0003-4975(95)94076-D.
The rapid change occurring in American healthcare is a direct response to rising costs. Managed care is the fastest growing model that attempts to control escalating costs through limitations in patient choice, the active use of guidelines, and placing providers at risk. Managed care is an information intensive system, and those providers who use information effectively will be at an advantage in the competitive healthcare marketplace. There are five classes of information that providers must collect to be competitive in a managed care environment: patient satisfaction, medical outcomes, continuous quality improvement, quality of the decision, and financial data. Each of these should be actively used in marketing, assuring the quality of patient care, and maintaining financial stability. Although changes in our healthcare system are occurring rapidly, we need to respond to the marketplace to maintain our viability, but as physicians, we have the singular obligation to maintain the supremacy of the individual patient and the physician-patient relationship.
美国医疗保健领域正在发生的快速变革是对成本不断上升的直接回应。管理式医疗是发展最快的模式，它试图通过限制患者选择、积极采用指导方针以及让医疗服务提供者承担风险来控制不断攀升的成本。管理式医疗是一个信息密集型系统，那些有效利用信息的医疗服务提供者在竞争激烈的医疗市场中将占据优势。在管理式医疗环境中，医疗服务提供者必须收集五类信息才能具备竞争力：患者满意度、医疗结果、持续质量改进、决策质量以及财务数据。所有这些信息都应积极用于市场营销、确保患者护理质量以及维持财务稳定。尽管我们的医疗体系正在迅速变革，但我们需要回应市场以维持自身的生存能力，然而作为医生，我们有独特的义务维护个体患者的至上地位以及医患关系。
