A National Strategy To Put Accountable Care Into Practice
A National Strategy To Put Accountable Care Into Practice
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DOI：
10.1377/hlthaff.2010.0194
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发表时间：
2010-05-01
期刊：
影响因子：
9.7
通讯作者：
Fisher, Elliott S.
中科院分区：
文献类型：
--
作者：
McClellan, Mark;McKethan, Aaron N.;Fisher, Elliott S.
在最近颁布的国家卫生改革立法中提出了责任医疗组织（ACO）的概念，作为解决美国卫生保健系统当前缺陷的战略。本文以一些初步实例为基础，重点讨论与这些组织有关的执行问题。我们力求澄清定义和关键原则，提供在其他改革背景下执行工作的最新情况，并解决将影响各组织成功的新问题。最后，在几个组织正在实施负责任的护理和补充改革的初步经验的基础上，我们提出了一个国家战略，以确定和扩大成功的方法，以负责任的护理实施。
The concept of accountable care organizations (ACOs) has been set forth in recently enacted national health reform legislation as a strategy to address current shortcomings in the U.S. health care system. This paper focuses on implementation issues related to these organizations, building on some initial examples. We seek to clarify definitions and key principles, provide an update on implementation in the context of other reforms, and address emerging issues that will affect the organizations' success. Finally, building on the initial experience of several organizations that are implementing accountable care and complementary reforms, we propose a national strategy to identify and expand successful approaches to accountable care implementation.