Bates G W, Bates S R
Bates Consulting Company, Inc, Greenville, SC 29607, USA.
Am J Obstet Gynecol. 1996 Apr;174(4):1200-7. doi: 10.1016/s0002-9378(96)70662-2.
Infertility is a natural disorder for developing a managed-care plan. Infertility has a clearly defined end point. The treatment regimens and protocols used for treating infertile couples have predictable outcomes; it is possible to develop rational treatment plans over a limited period of time. It is not unreasonable for infertile couples to share the cost of treatment and for the physician-providers to share the economic risk by providing a bundle of optimal services at a fixed price. We present the theoretic basis for an infertility managed-care plan and the requirements for developing a plan that can be sold in the marketplace. Finally, we discuss some of the consequences of an infertility managed-care plan on physician relationships, physician manpower, research, and education.
不孕症是制定管理式医疗计划的一种自然疾病。不孕症有明确界定的终点。用于治疗不孕夫妇的治疗方案和规程有可预测的结果；在有限时间内制定合理的治疗计划是可行的。不孕夫妇分担治疗费用，医生提供者通过以固定价格提供一系列最优服务来分担经济风险，这并非不合理。我们阐述了不孕症管理式医疗计划的理论基础以及制定可在市场上销售的计划的要求。最后，我们讨论了不孕症管理式医疗计划对医患关系、医生人力、研究和教育的一些影响。
