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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Organizational responses to managed care: issues for academic health centers and implications for pediatric programs.
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Organizational responses to managed care: issues for academic health centers and implications for pediatric programs.

机译:组织对管理式护理的反应:学术卫生中心的问题及其对儿科计划的影响。

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摘要

The health care market dynamics that supported and directed the growth and development of Academic Health Centers (AHCs) have changed dramatically in the last 10 years. AHCs are struggling to adapt to new reimbursement mechanisms and to compete effectively for limited dollars, but are constrained by administrative and governance structures that are slow to evolve. Their multiple missions, including education, research, and care for complex patients and underserved populations, are at risk. Although most recognize the need for substantive reorganization, available resources and market specifics vary dramatically from one AHC to another. The current approaches to adaptation by four AHCs are described, along with some of the unique challenges confronted by academic pediatric programs.
机译:在过去的十年中,支持并指导了学术健康中心(AHC)成长和发展的医疗保健市场动态发生了巨大变化。 AHC努力适应新的报销机制并有效竞争有限的美元,但受到发展缓慢的行政和治理结构的约束。他们的多重任务(包括对复杂患者和服务不足人群的教育,研究和护理)处于危险之中。尽管大多数人认识到需要进行实质性重组,但是从一个AHC到另一个AHC,可用资源和市场细节差异很大。描述了四个AHC的当前适应方法,以及学术儿科计划面临的一些独特挑战。

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