Transforming insurance coverage into quality health care - Voltage drops from potential to delivered quality
Transforming insurance coverage into quality health care - Voltage drops from potential to delivered quality
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DOI：
10.1001/jama.284.16.2100
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发表时间：
2000-10-25
影响因子：
120.7
通讯作者：
Power, EJ
中科院分区：
文献类型：
--
作者：
Eisenberg, JM;Power, EJ
尽管美国的医疗保健系统经常被誉为世界上最好的医疗保健系统之一，但不同人群、不同地区、不同机构和临床医生所接受的医疗质量存在差异，提供医疗保险的举措一直是确保美国人获得高质量医疗保健的主要政策工具。然而，提供保险并不会自动带来高质量的护理。本文探讨了美国医疗洞穴系统中可能丧失实现高质量护理潜力的脆弱点：(1) 获得保险； (2) 加入可用的保险计划； (3) 获得承保服务、临床医生和医疗保健机构的机会； (4) 计划、临床医生和医疗机构的选择； (5) 获得一致的初级保健来源； (6) 获得转介服务； (7) 提供高质量的医疗保健服务。确保高质量的医疗保健需要认识到并解决这些“电压下降”问题。
Although the US health care system is often touted as one of the best in the world, disparities exist in quality of care received by different: populations, in different regions, and across different institutions and clinicians, Initiatives to provide access to health insurance have been a major policy tool to ensure that Americans receive high-quality health care. However, availability of insurance coverage does not automatically lead to high-quality care. This article explores points of vulnerability in the US health cave system at which the potential to achieve high-quality care can be lost: (1) access to insurance coverage; (2) enrollment in available insurance plans; (3) access to covered services, clinicians, and health care institutions; (4) choice of plans, clinicians, and health care institutions; (5) access to a consistent source of primary care; (6) access to referral services; and (7) delivery of high-quality health care services, Ensuring high-quality health care requires that each of these "voltage drops" be recognized and addressed.