Creating accountable care organizations: The extended hospital medical staff
Creating accountable care organizations: The extended hospital medical staff
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DOI：
10.1377/hlthaff.26.1.w44
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发表时间：
2007-01-01
期刊：
影响因子：
9.7
通讯作者：
Gottlieb, Daniel J.
中科院分区：
文献类型：
--
作者：
Fisher, Elliott S.;Staiger, Douglas O.;Gottlieb, Daniel J.
许多现行的绩效衡量和支付改革政策和方法都侧重于个别提供者;它们有可能加剧重病患者所经历的支离破碎的护理和缺乏协调的情况。在本文中，我们表明，医疗保险受益人得到他们的大部分照顾，从相对连贯的本地交付系统，包括医生和医院，他们的工作或承认他们的病人。努力建立负责任的护理组织在这一水平的扩大医院的医疗人员值得考虑作为一个潜在的手段，提高质量和降低成本的护理。
Many current policies and approaches to performance measurement and payment reform focus on individual providers; they risk reinforcing the fragmented care and lack of coordination experienced by patients with serious illness. In this paper we show that Medicare beneficiaries receive most of their care from relatively coherent local delivery systems comprising physicians and the hospitals where they work or admit their patients. Efforts to create accountable care organizations at this level-the extended hospital medical staff-deserve consideration as a potential means of improving the quality and lowering the cost of care.