Bailey J E, Womeodu R J
Department of Medicine, University of Tennessee, Memphis 38103, USA.
J Tenn Med Assoc. 1996 Apr;89(4):122-5.
Managed care will present many new challenges to health care providers in their efforts to improve the quality of the preventive care their patients receive. Managed care will present both formidable obstacles to prevention and previously unknown opportunities to enhance population-based preventive services. Whether these opportunities are realized depends on the degree and quality of the involvement of health care providers in managed care institutions. Provider and public health input is particularly needed to promote the development of uniform preventive care standards, the development of information systems for continuous monitoring of preventive service delivery, and to enhance clinic-based preventive efforts, and the development of reimbursement mechanisms that provide incentives for prevention. Independent research and oversight is needed to show the impact of various types of managed care on preventive service delivery and quality of care. The effects of managed care on the preventive care that patients receive will ultimately be determined by the quality, priorities, and determination of the management.
管理式医疗将给医疗服务提供者带来诸多新挑战，他们需要努力提高患者所接受的预防性医疗服务质量。管理式医疗既会给预防工作带来巨大障碍，也会带来此前未知的提升基于人群的预防服务的机遇。这些机遇能否实现取决于医疗服务提供者参与管理式医疗机构的程度和质量。特别需要医疗服务提供者和公共卫生机构的投入，以推动统一预防保健标准的制定、建立持续监测预防服务提供情况的信息系统、加强基于诊所的预防工作，以及制定为预防工作提供激励措施的报销机制。需要进行独立研究和监督，以显示各类管理式医疗对预防服务提供和医疗质量的影响。管理式医疗对患者所接受的预防性医疗的影响最终将取决于管理的质量、优先事项和决心。
