Grimaldi P L
Nurs Manage. 1996 Apr;27(4):49-51.
Managed care organizations rely on different ways to authorize the utilization of hospital services, physician specialty care and other referral services. Critical differences revolve around the role the primary care physician plays in the authorization process. The more tightly managed the system, the more likely will unnecessary medical costs be avoided.
管理式医疗组织依靠不同方式来授权使用医院服务、医生专科护理及其他转诊服务。关键差异围绕着初级保健医生在授权过程中所起的作用。系统管理得越严格,就越有可能避免不必要的医疗费用。