Schlesinger M, Gray B
Health Aff (Millwood). 1998 May-Jun;17(3):152-68. doi: 10.1377/hlthaff.17.3.152.
For the past quarter-century managed care plans have been judged almost exclusively in terms of their influence on the health and health care of individual enrollees. However, policymakers are now paying attention to the ways in which health care organizations affect the broader well-being of their communities. These forms of "community benefit" emerged originally from legal criteria for tax exemption but are increasingly applied to all health care organizations, whatever their form of ownership. In this paper we identify different paradigms for defining community benefit and trace the factors that have encouraged or discouraged their application to health care. We suggest several strategies encouraging managed care plans to broaden their goals to include community benefit.
在过去的四分之一世纪里，管理式医疗计划几乎完全是依据其对参保个体的健康及医疗保健的影响来评判的。然而，政策制定者如今正关注医疗保健组织影响其所在社区更广泛福祉的方式。这些“社区福利”形式最初源自免税的法律标准，但如今越来越多地适用于所有医疗保健组织，无论其所有制形式如何。在本文中，我们确定了定义社区福利的不同范式，并追溯了鼓励或阻碍将其应用于医疗保健的因素。我们提出了若干策略，鼓励管理式医疗计划拓宽其目标，将社区福利纳入其中。
