Assessing the evidence on HMO performance.
Assessing the evidence on HMO performance.
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评估 HMO 绩效的证据。
DOI：
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发表时间：
1980
期刊：
影响因子：
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通讯作者：
H. Luft
中科院分区：
文献类型：
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作者：
H. Luft
HMO签订合同，为登记的人口提供医生和医院服务，以换取定期付款。健康维护组织成员的总费用低于参加传统保险计划的成员。但是，对这种差异和相关差异的解释不能仅仅归因于效率、质量，甚至消费者的自我选择或医生的满意度。虽然公共政策假设HMO将鼓励传统医疗服务提供者做出有益的竞争性反应，但人们对预测这种可能性的性质和程度知之甚少。
HMOs contract to provide physician and hospital services to enrolled populations in return for fixed periodic payments. Total costs for HMO members are shown to be lower than for those enrolled in conventional insurance plans. But the explanation for this and related differences cannot be attributed solely to matters of efficiency, quality, or even consumer self-selection or physician satisfaction. Although public policy assumes that HMOs will encourage beneficial competitive responses by traditional health care providers, too little is known to predict the nature and extent of such probabilities.