Sutton J P, DeJong G
National Rehabilitation Hospital Research Center, Washington, DC 20036, USA.
Arch Phys Med Rehabil. 1998 Oct;79(10):1312-6. doi: 10.1016/s0003-9993(98)90283-0.
A physical, cognitive, or mental disability presents significant challenges to an individual in gaining access to a coordinated program of preventive, primary, and secondary health care services. This article describes the health care needs of people with disabilities and discusses how the financial incentives in managed care may threaten access to the health care services they need to maintain their health and functional independence. We argue that despite the shortcomings of present models, managed care has the potential to improve the health care of people with disabilities. Moreover, as health plans become increasingly accountable to consumers (and begin to compete on the basis of quality), they will not be able to ignore the distinct health care needs of people with disabilities.
身体、认知或精神残疾给个人获得协调的预防、初级和二级医疗保健服务计划带来了重大挑战。本文描述了残疾人的医疗保健需求，并讨论了管理式医疗中的经济激励措施如何可能威胁到他们获得维持健康和功能独立所需医疗保健服务的机会。我们认为，尽管当前模式存在缺陷，但管理式医疗有潜力改善残疾人的医疗保健。此外，随着健康计划对消费者的问责性日益增强（并开始在质量基础上展开竞争），它们将无法忽视残疾人独特的医疗保健需求。
