Dysinger W S
Concord Department of Family and Community Medicine, Dartmouth Medical School, New Hampshire, USA.
Am J Prev Med. 1996 May-Jun;12(3):145-50.
The specialty of preventive medicine and managed care organizations share many common philosophies. Ties have been established between these two groups, but opportunities exist for strengthening and expanding relationships. I identified six preventive medicine residencies with strong rotations at managed care organizations and surveyed them for basic information regarding their affiliations. Six medical directors of managed care organizations who are board-certified in preventive medicine were also contacted and surveyed. Successful relationships between preventive medicine residencies and managed care organizations include (1) commitment to training in a managed care environment by the preventive medicine residency, (2) large, well-established managed care organizations, and (3) commitment by the managed care organization to preventive medicine, evidenced by a department of preventive medicine or a preventive medicine physician on staff. Issues related to the involvement of managed care in preventive medicine training include the uncertain interest of managed care organizations in graduate medical education and the growing need for managed care organizations to attain accreditation status that includes standards for preventive services. Preventive medicine and managed care should increase their ties in the future. Medical Subject Headings (MeSH): preventive medicine, managed care, health maintenance organization, graduate medical education, training, accreditation.
预防医学专业与管理式医疗组织有许多共同理念。这两个群体之间已建立联系，但仍有加强和扩大关系的机会。我确定了六家在管理式医疗组织中有强大轮转项目的预防医学住院医师培训项目，并对它们进行调查以获取有关其附属关系的基本信息。还联系并调查了六位在预防医学方面获得董事会认证的管理式医疗组织的医学主任。预防医学住院医师培训项目与管理式医疗组织之间的成功关系包括：（1）预防医学住院医师培训项目致力于在管理式医疗环境中进行培训；（2）大型、成熟的管理式医疗组织；（3）管理式医疗组织对预防医学的承诺，这表现为设有预防医学部门或有预防医学医师在职。与管理式医疗参与预防医学培训相关的问题包括管理式医疗组织对毕业后医学教育的兴趣不确定，以及管理式医疗组织越来越需要获得包括预防服务标准在内的认证地位。预防医学和管理式医疗未来应加强联系。医学主题词（MeSH）：预防医学、管理式医疗、健康维护组织、毕业后医学教育、培训、认证。
