Arenson R L, Burnside E S
Radiology Department, School of Medicine, University of California, San Francisco 94143-0628, USA.
AJR Am J Roentgenol. 1997 Jul;169(1):3-10. doi: 10.2214/ajr.169.1.9207491.
Managed care has arrived, especially on the West Coast. This tsunami is moving eastward at a rapid rate. Perhaps the experience with killer bees will be repeated with managed care, with decreased virulence as this wave moves across the country. Institutions would be wise to prepare for these changes with improved efficiency and cost-effectiveness. Radiologists are particularly at risk and need to aggressively adapt to managed care by becoming informed, developing a clear strategy for coping, and then executing their plan. Evolution will demonstrate once again the survival of the fittest.
管理式医疗已经到来，尤其是在西海岸。这场海啸正以迅猛的速度向东推进。或许管理式医疗会重演杀人蜂的经历，随着这股浪潮席卷全国，其危害程度会降低。各机构明智的做法是通过提高效率和成本效益来为这些变化做好准备。放射科医生尤其面临风险，需要积极适应管理式医疗，了解相关情况，制定明确的应对策略，然后执行计划。进化将再次证明适者生存。
