How A Regional Collaborative Of Hospitals And Physicians In Michigan Cut Costs And Improved The Quality Of Care
How A Regional Collaborative Of Hospitals And Physicians In Michigan Cut Costs And Improved The Quality Of Care
复制标题
DOI：
10.1377/hlthaff.2010.0526
复制
发表时间：
2011-04-01
期刊：
影响因子：
9.7
通讯作者：
Birkmeyer, John D.
中科院分区：
文献类型：
--
作者：
Share, David A.;Campbell, Darrell A.;Birkmeyer, John D.
有证据表明，在该国特定地区，医院和医生之间的合作提高了护理质量。即便如此，这样的合作并不多。我们回顾一个，密歇根州的区域合作改善计划，这是由一家大型私人保险公司支付，已经取得了一系列的临床条件的改善，并降低了在几个重要领域的成本。仅在普通和血管手术中，手术并发症在参与的密歇根州医院中下降了近2.6%，这一变化意味着每年密歇根州的手术并发症患者减少了2,500人。估计每年从这一合作节省约2000万美元，远远超过管理该计划的成本。区域合作改善计划应该对医院和医生以及国家政策制定者越来越有吸引力，因为他们寻求提高医疗质量和降低成本。
There is evidence that collaborations between hospitals and physicians in particular regions of the country have led to improvements in the quality of care. Even so, there have not been many of these collaborations. We review one, the Michigan regional collaborative improvement program, which was paid for by a large private insurer, has yielded improvements for a range of clinical conditions, and has reduced costs in several important areas. In general and vascular surgery alone, complications from surgery dropped almost 2.6 percent among participating Michigan hospitals-a change that translates into 2,500 fewer Michigan patients with surgical complications each year. Estimated annual savings from this one collaborative are approximately $20 million, far exceeding the cost of administering the program. Regional collaborative improvement programs should become increasingly attractive to hospitals and physicians, as well as to national policy makers, as they seek to improve health care quality and reduce costs.