Schlesinger M, Gray B, Carrino G, Duncan M, Gusmano M, Antonelli V, Stuber J
Institution for Social and Policy Studies, Yale University, USA.
Health Aff (Millwood). 1998 Sep-Oct;17(5):26-49. doi: 10.1377/hlthaff.17.5.26.
Applying a "community benefit" standard to managed care is difficult because prevailing definitions of community benefit have been drawn largely from the hospital industry, which has different operating practices and capabilities than managed care plans do. To formulate a more comprehensive and appropriate typology for managed care, we describe four different conceptual perspectives on community benefit and identify actual plan practices that match each perspective. We propose a "balanced model" for encouraging community benefit through public and private policies.
将“社区福利”标准应用于管理式医疗很困难，因为社区福利的现行定义主要源自医院行业，而医院行业的运营方式和能力与管理式医疗计划不同。为了为管理式医疗制定更全面、合适的类型学，我们描述了关于社区福利的四种不同概念视角，并确定了与每种视角相匹配的实际计划做法。我们提出了一个通过公共和私人政策鼓励社区福利的“平衡模型”。
