Larkin G L, Adams J G, Derse A R, Iserson K V, Gotthold W E
Department of Emergency Medicine, Mercy Hospital, University of Pittsburgh School of Medicine, Pennsylvania, USA.
Ann Emerg Med. 1996 Dec;28(6):683-9. doi: 10.1016/s0196-0644(96)70094-x.
The rapid expansion of cost-consciousness and managed care into the medical marketplace has challenged the autonomy of physicians and patients. These challenges have taken a variety of forms, including limitations on reimbursement and restrictions on the amount and type of emergency care patients may receive. Challenges aside, the economic agenda of managed care must not threaten the primacy of patient welfare. The fidelity of the emergency physician-patient relationship and the integrity of the medical profession hangs in the balance.
注重成本意识和管理式医疗在医疗市场的迅速扩张，对医生和患者的自主权构成了挑战。这些挑战呈现出多种形式，包括报销限制以及对患者可获得的急诊护理数量和类型的限制。抛开这些挑战不谈，管理式医疗的经济议程绝不能威胁到患者福利的首要地位。急诊医患关系的忠诚以及医疗行业的诚信都危在旦夕。
