Ehrat K S
Mercy Health System-Greater Cincinnati Region, USA.
J Nurs Adm. 1996 Jan;26(1):11-3. doi: 10.1097/00005110-199601000-00004.
The healthcare delivery system is undergoing great upheaval as individual providers respond to market pressures for aggressive cost reduction. Roles, relationships, processes, partnerships, and financing arrangements are on the table in the great race for competitive survival. The IDN department will address issues inherent in the evolution of free-standing acute care centers and private medical staffs into integrated delivery networks. It will globally explore alternative managed care and direct contracting at-risk strategies.
随着个体医疗服务提供者应对大幅降低成本的市场压力，医疗服务提供系统正在经历巨大变革。在这场激烈的竞争生存竞赛中，角色、关系、流程、伙伴关系和融资安排都成为了讨论的焦点。独立急症护理中心和私人医务人员向综合医疗服务网络演变过程中所固有的问题将由综合医疗服务网络部门来解决。该部门将全面探索替代性管理式医疗和直接签约风险策略。
