Fishman P A, Wagner E H
Center for Health Studies, Group Health Cooperative, Seattle, Washington 98101, USA.
Annu Rev Public Health. 1998;19:477-91. doi: 10.1146/annurev.publhealth.19.1.477.
Traditional group and staff model HMOs have contributed to public health investigations for decades. HMOs offer several advantages for this type of research because of their defined population and provider groups and the integrated nature of care delivery in these organizations. Traditional HMOs have also made investments in sophisticated data systems to support evidence-based care that is supported by high-quality clinical data available in automated information systems. This paper reviews why traditional HMOs are ideal places to conduct public health research and analyzes how recent market trends may threaten this role for managed care.
传统团体模式和员工模式的健康维护组织（HMOs）几十年来一直为公共卫生调查做出贡献。HMOs为这类研究提供了几个优势，因为它们有明确的人群和医疗服务提供群体，以及这些组织中医疗服务提供的整合性质。传统的HMOs还对先进的数据系统进行了投资，以支持循证医疗，而循证医疗又得到了自动化信息系统中高质量临床数据的支持。本文回顾了为什么传统的HMOs是进行公共卫生研究的理想场所，并分析了最近的市场趋势可能如何威胁到管理式医疗的这一角色。
