Laramee S H
Marriott Health Care Services, Northeast Health Systems, Beverly Hospital, MA 01915, USA.
J Am Diet Assoc. 1996 Apr;96(4):335-6. doi: 10.1016/S0002-8223(96)00094-6.
Managed care systems are transforming the health care system in the United States. Dietitians will need to review practice opportunities in new and different settings, and develop additional skills to make a successful transition to the transformed health care environment. The shift in health care financing from a fee-for-service model to a capitated system will have the most dramatic impact on the profession. Not all the answers are available, but the focus for the future is clear--customer satisfaction, outcomes research, and cost-effective nutrition services.
管理式医疗系统正在改变美国的医疗体系。营养师需要审视新的和不同环境中的执业机会，并培养额外技能，以便成功过渡到转型后的医疗环境。医疗保健融资从按服务收费模式向按人头付费系统的转变将对该行业产生最显著的影响。虽然并非所有问题都有答案，但未来的重点很明确——客户满意度、结果研究和具有成本效益的营养服务。
