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当医生参加确定控制费用卫生计划的组织时,面临着这个问题:“我们如何能够在保证医疗护理质量的前提下,削减费用?”我认为,降低费用并不意味着降低医护质量。相反,在许多情况下,医护质量和经济核算相互作用、相得益彰。在其他情况下,以不明显影响病人利益为前提,也可以大幅度削减费用开支。决定不同病人处理方案的效果是极为错综复杂的,只能以单个病例为基础进行详细讨论。
When doctors participate in an organization that determines the control cost health plan, they face this problem: “How can we reduce costs while ensuring the quality of medical care?” I think that reducing costs does not mean reducing the quality of care. On the contrary, in many cases, the quality of care and economic accounting interact and complement each other. In other cases, it is also possible to significantly reduce expenses and expenses on the premise of not significantly affecting the interests of the patients. Determining the effectiveness of different patient management options is extremely complex and can only be discussed in detail on a case-by-case basis.