Schreter R K
Sheppard Pratt Health Plan, Baltimore, MD 21204, USA.
Psychiatr Serv. 1998 Nov;49(11):1429-33. doi: 10.1176/ps.49.11.1429.
Market forces are reshaping health care, transforming it from a public service into a product that is sold in a highly competitive marketplace. This transformation has been particularly disruptive for hospital departments of psychiatry and medical centers that were the early targets for managed care efforts at cost containment. To survive, health care institutions have embarked on a clinical and administrative re-engineering process. The author describes a series of steps for reconfiguring departments, hospitals, and medical centers as they enter the 21st century. The steps include identifying the leadership team, formulating a mission statement and strategic plan, creating a legal entity capable of achieving the organization's goals, drawing up an organizational chart, and developing the provider network. Other steps in the process include enhancing the continuum of services offered, developing administrative capability, dealing with managed care, paying attention to fundamental business practices, integrating psychiatric services into the health care system, and marketing psychiatric services.
市场力量正在重塑医疗保健行业，将其从一项公共服务转变为一种在高度竞争的市场中销售的产品。这种转变对精神病医院科室和医疗中心来说尤其具有颠覆性，这些科室和中心是早期管理式医疗控制成本努力的目标。为了生存，医疗保健机构已着手进行临床和行政管理的重新设计过程。作者描述了随着部门、医院和医疗中心进入21世纪而重新配置它们的一系列步骤。这些步骤包括确定领导团队、制定使命宣言和战略计划、创建一个能够实现组织目标的法律实体、绘制组织结构图以及发展供应商网络。该过程中的其他步骤包括加强所提供服务的连续性、发展行政管理能力、应对管理式医疗、关注基本商业惯例、将精神科服务融入医疗保健系统以及营销精神科服务。
