Huey J R, Astles P D
Wright State University, College of Medicine, Dayton, Ohio, USA.
Clin Obstet Gynecol. 1997 Jun;40(2):427-36. doi: 10.1097/00003081-199706000-00020.
We are indeed facing a changing paradigm in the way medical services are delivered and reimbursed. Physicians are becoming entangled in the business world. Terms such as "medical loss ratio" must be integrated within the physician's existing language. According to Green and Barnett, "No group is so large or so small as to likely survive the next decade without being involved in a capitated contract." The change is not tomorrow, it is today. Do not be lost in the changing world of medicine without becoming involved, and see if it is for you and your practice. Progress of medicine may not be what you would like but do not be passed by without making an impact. Capitation offers an opportunity to regain control of the management of care, to develop innovative and cost-effective approaches to delivery, and to enhance income and revenue in the face of declining health care budgets.
我们确实正面临着医疗服务提供和报销方式的范式转变。医生正陷入商业世界之中。诸如“医疗损失率”之类的术语必须融入医生现有的语言体系。根据格林和巴尼特的说法，“没有哪个群体规模大到或小到在未来十年不参与按人头付费合同还能存活下来。”变革不是在明天，而是在今天。不要在医学不断变化的世界中迷失而不参与其中，看看它是否适合你和你的业务。医学的进步可能并非如你所愿，但不要在未产生影响的情况下被时代淘汰。按人头付费提供了一个重新掌控医疗管理的机会，去开发创新且具成本效益的服务提供方式，并在医疗保健预算不断下降的情况下提高收入。
