将医疗集团整合为医生实践管理组织
1School of Public Health, University of California, Berkeley 94720, USA. jamie@uclink4.berkeley.edu
JAMA
|January 24, 1998
概括
1994年至1996年间,医生实践管理 (PPM) 公司迅速扩大,医生人数和患者入学人数大幅增加. 这些PPM组织现在为健康维护组织 (HMO) 管理资本和利用.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 医疗集团组织组织组织
背景情况:
- 医疗团体正在整合,以提高管理护理的效率和谈判能力.
- 医生实践管理 (PPM) 公司提供财务支持和专业知识,作为医院附属机构的替代品.
- 这些公司为与医疗保险实体签订的全球资本合同提供便利.
研究的目的:
- 分析PPM组织的扩张,组织框架和战略方法.
- 检查PPM如何协调多个医疗团体,并与卫生维护组织 (HMO) 谈判合同.
主要方法:
- 利用案例研究,包括采访领导人和分析公司,金融和行业文件.
- 专注于与加利福尼亚州和新泽西州三大PPM关联的医疗团体和独立实践协会 (IPA).
- 评估医生人数,患者招生,收入来源,组织结构和合同战略的增长.
主要成果:
- 1994年至1996年间,附属医生从3,787人增长到25,763人,并转向专业护理合同.
- 患者在HMO的入学人数从285,503人升至300多万人,年度资本收入从1.9亿美元增加到21亿美元.
- 附属医疗团体越来越多地管理资本化服务,并由HMO委托使用管理和质量保证责任.
结论:
- 普惠管理组织及其附属集团必须应对持续快速增长和股票价值的挑战.
- 在努力提高实践效率的过程中,保持医生和患者的忠诚度至关重要.
- 不断变化的环境需要战略性适应管理护理需求.
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