Adams C E, Usher R, Kramer S
Washington State University, Spokane, USA.
J Nurs Adm. 1997 Mar;27(3):21-7. doi: 10.1097/00005110-199703000-00006.
Home health nurse visit and care coordination time were compared between Medicare patients enrolled in an health maintenance organization (HMO) and in the traditional Medicare fee-for-service program. In home nurse visit time did not differ for the two groups. Coordination time per episode of care was approximately 40 minutes longer for an HMO patient. When home health administrators develop discounted visit rates for HMO contracts, they must include the extra coordination time in the rates.
对参加健康维护组织（HMO）的医疗保险患者和参加传统医疗保险按服务收费计划的患者的家庭健康护士访视和护理协调时间进行了比较。两组的家庭护士访视时间没有差异。HMO患者每次护理的协调时间大约长40分钟。当家庭健康管理人员为HMO合同制定折扣访视费率时，他们必须在费率中纳入额外的协调时间。
