Gallagher T H, Alpers A, Lo B
Division of General Medical Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA.
Am J Med. 1998 Nov;105(5):409-15. doi: 10.1016/s0002-9343(98)00295-2.
Because financial incentives for managed care physicians may create conflicts of interests, new regulations have been instituted that will result in disclosure of certain financial incentives to the Federal Government and to some patients. Given the limitations of these regulations, health plans and physicians should take the lead in addressing concerns about the harmful effects of financial incentives. For example, public disclosure may deter unusually strong financial incentives. Purchasing coalitions, advocacy groups, and journalists should have increased access to information about physician-level incentives. These nonregulatory measures might reassure patients that managed care physicians are committed to their best interests.
由于管理式医疗医生的经济激励措施可能会产生利益冲突，因此已经制定了新的法规，这将导致向联邦政府和一些患者披露某些经济激励措施。鉴于这些法规存在局限性，健康计划和医生应带头解决对经济激励措施有害影响的担忧。例如，公开披露可能会抑制异常强烈的经济激励措施。采购联盟、倡导团体和记者应能更方便地获取有关医生层面激励措施的信息。这些非监管措施可能会让患者放心，管理式医疗医生致力于维护他们的最大利益。
