Stiffman M N, LeFevre M L
St Paul Ramsey Family Practice Residency Program/Health Partners, Minn, USA.
Fam Med. 1997 Feb;29(2):94-8.
The rapid growth of managed care is posing new challenges for residency education. This study examines the effect of managed care on family practice residency programs' abilities to provide an ambulatory continuity experience for resident physicians. This paper also assesses the perceived benefits and problems associated with managed care.
A survey was mailed in the fall of 1995 to the directors of all US family practice residencies.
Nearly 75% of residencies had experienced a recent increase in managed care volume. Nearly 75% reported associated benefits. Fifty percent reported associated problems for residency training. Only 20% of residencies had a managed care contract that allowed resident physicians to serve as primary care providers. Residencies use a variety of methods to circumvent these restrictions to enable residents to have a continuity practice.
Managed care organizations create opportunities and challenges for the training of primary care physicians.
管理式医疗的迅速发展给住院医师培训带来了新的挑战。本研究探讨了管理式医疗对家庭医学住院医师培训项目为住院医师提供门诊连续性体验能力的影响。本文还评估了与管理式医疗相关的感知益处和问题。
1995年秋季向所有美国家庭医学住院医师培训项目的主任邮寄了一份调查问卷。
近75%的住院医师培训项目近期管理式医疗量有所增加。近75%报告了相关益处。50%报告了对住院医师培训的相关问题。只有20%的住院医师培训项目有管理式医疗合同，允许住院医师担任初级保健提供者。住院医师培训项目采用多种方法规避这些限制，以使住院医师能够进行连续性医疗实践。
管理式医疗组织为初级保健医生的培训创造了机遇和挑战。
