Wojner A W
School of Nursing, University of Texas at Houston, USA.
Crit Care Nurs Q. 1997 Feb;19(4):1-15.
Providers and consumers currently are challenged to move the payer-driven health care system toward a patient-driven model. Described as disease management, this system would be based on prevention and the natural course of disease, providing care across the continuum. Creating the new system will demand the measurement and management of health outcomes to facilitate practice delivery within a scientific framework. Outcomes management provides this framework, enabling the development of best clinical practices, informed consumer decision making, prediction of resource consumption, identification of consumer expectations, and reduction of financial risk.
目前，医疗服务提供者和消费者面临着将支付方驱动的医疗保健系统转变为患者驱动模式的挑战。这种被称为疾病管理的系统将基于疾病的预防和自然病程，提供连续的护理。创建新系统需要对健康结果进行测量和管理，以便在科学框架内促进医疗服务的提供。结果管理提供了这样一个框架，有助于制定最佳临床实践、使消费者做出明智决策、预测资源消耗、识别消费者期望并降低财务风险。
