EVOLVING ROLE OF MANAGED CARE--EDUCATIONAL PRIORITIES

这次会议的目的是召集主要的教育工作者， 临床医生和研究人员来阐明和澄清挑战 由一个快速变化的传输系统呈现。一个关键问题， 会议的中心重点和后续传播 努力，是病人转介从初级到专科护理。 的 目标是促进教育模式的发展， 指导未来的医生以及制定议程， 实践和公共政策。 通过主要侧重于教育和 实践问题，其次是与研究和 本次会议是对AHCPR政策的重要补充， 初级和专科护理之间的接口研究计划。 目标是：1）将通才和专家聚集在一起， 制定原则，确定以下方面的最佳关系 通才和专家，并制定战略， 初级护理和专科护理的有效衔接教育 战略将是一个中心重点，但在其他领域的研究 教育和政策也将 被识别。 2)将初级保健医生和 医患关系专家研究新出现的问题 在这种关系中，这是管理式护理环境所独有的， 讨论如何教他们。 例如，年轻的医生如何 学会预测和管理患者对专业的期望 关心和担心适当的照顾会被拒绝？ 3)评估 管理式医疗中与医生和组织相关的问题 设置，并制定战略，教医生关于他们的新的 这些关系中的角色。 也就是说，年轻的医生如何能够 教导管理多个“客户”的期望（即， 患者、健康计划、其他同事）有效地进行治疗？ 协会 普通内科的管理式医疗工作组， 与家庭医学教师协会合作， 美国医师和患者学会，ASP正在计划 会议

The purpose of this conference is to convene leading educators, clinicians, and researchers to articulate and clarify challenges presented by a rapidly changing delivery system. A critical issue, and the central focus of the conference and follow-up dissemination efforts, is patient referrals from primary to specialty care. The objective is to stimulate the development of educational models to guide future physicians as well as the development of an agenda for practice and public policy. By focusing primarily on educational and practice issues, and secondarily on issues related to research and policy, this conference offers an essential complement to AHCPR's research program on the interface between primary and specialty care. The goals are: 1) To bring together generalists and specialists to develop principles that will define the optimal relationship between generalists and specialists and to develop strategies for navigating the primary care-specialty care interface, effectively. Educational strategies will be a central focus, but areas where additional research is essential to guide future practice, education and policy will also be identified. 2) To bring together primary care physicians and experts in the doctor-patient relationship to examine emerging issues in this relationship that are unique to managed care settings, and to discuss how to teach about them. For example, how can young physicians be taught to anticipate and manage patient expectations for specialty care and fears that appropriate care will be denied? 3) To assess issues related to the physician and the organization in a managed care setting, and to develop strategies to teach physicians about their new roles in these relationships. That is, how can young physicians be taught to manage the expectations of multiple "customers" (ie., patients, health plans, other colleagues) effectively? The Society of General Internal Medicine's Task Force on Managed Care, in collaboration with the Society of Teachers of family Medicine, the American Academy on Physician and Patient, and ASP is planning the conference.