Pan R J, Finkelstein J A
Children's Hospital, Boston, Massachusetts 02115, USA.
Pediatrics. 1998 Apr;101(4 Pt 2):739-45.
Managed care is becoming the dominant form of health care delivery and financing in the United States, necessitating changes in pediatric education. This transition is redefining the questions of what needs to be taught, who should be teaching it, where it should be taught, and how to pay for this education. We performed a literature review and examined reports from policy and professional groups to seek answers to these questions. We have identified curricular, administrative, and financial challenges to pediatric education in managed care. Although road maps for innovation have been described, there is a deficiency of research and information in key areas of pediatric education in the managed care environment.
管理式医疗正成为美国医疗服务提供和融资的主导形式，这使得儿科教育需要做出改变。这种转变正在重新界定需要教授什么、应由谁来教授、应在何处教授以及如何为这种教育付费等问题。我们进行了文献综述，并研究了政策和专业团体的报告，以寻求这些问题的答案。我们已经确定了管理式医疗中儿科教育在课程、管理和财务方面面临的挑战。尽管已经描述了创新路线图，但在管理式医疗环境下儿科教育的关键领域，研究和信息仍存在不足。
