查詢結果分析
來源資料
頁籤選單縮合
題 名 | Integrated Delivery Systems, a Possible Vision of the Future: Lessons from the United States Experience=醫療服務供給的展望:美國整合性健康照護系統的鑑戒 |
---|---|
作 者 | 梁亞文; 洪錦墩; 林丁貴; 許安和; | 書刊名 | 中臺學報 |
卷 期 | 16:1 民93.11 |
頁 次 | 頁123-134 |
分類號 | 419.5 |
關鍵詞 | 管理式醫療; 整合性健康照護系統; 管理性照護組織; Managed care; Integrated delivery systems; Managed care organizations; |
語 文 | 英文(English) |
中文摘要 | 由於醫療支出不斷的快速增加,再加上論人計酬支付制度的實施,為確保足夠的納保人數以分擔財務風險,美國的醫療供給者不僅必須改變其互動關係,更進一步的推動了整合性健康照護系統的興起及蓬勃發展。整合性健康照護系統重視醫療照護的連續性(continuum of care),提供照護的重點也從“醫療(medical)到健康(health)“,使病患獲得最適切且完善的醫療服務;最終就是要建立以病患為中心的醫療照護體系,以使病患獲得更高品質的醫療服務。 本文的目的在藉由整合性健康照護系統的介紹讓醫療專業者及一般民眾能對整合性健康照護系統的參與者及其組成要素有所瞭解,並作為醫療政策制定者及醫院遠管理者決策的參考。本文敘述了整合性健康照護系統的促成因素、定義、主要參與者及整合方式。並從法律、組織、專業、資訊、管理及品質等層面分別探討整合性健康照護系統形成過程中可能遭遇到的挑戰。 |
英文摘要 | The U. S. health care system is undergoing profound changes that are affecting the way most Americans receive their care. Public and private payers are demanding more value for their health care dollar. Managed care organizations ( MCOs ) are forming, consolidating, and expanding into more markets across the country. Health care providers are trying to squeeze costs out of their systems, while maintaining or improving the quality of care delivered. Experience suggests a seamless and comprehensive array of health care services under a single, integrated organizational structure would go a long way in addressing the complaints of our patients and caregivers. In response to positioning for the future, gaining competitive advantage, controlling costs, accessing capital, improving quality of care, and increasing accountability, integrated delivery systems ( IDSs ) are formed. Integration is taking place in a legal and economic environment that was designed to promote fragmentation. They seek to reorganize how health care is delivered and financed. |
本系統中英文摘要資訊取自各篇刊載內容。