鼓励私人开业的基层医生组成一种新型的独立经营联合体——联合保健治疗,这一机构已成为治疗的协调者和经费管理者。每位患者选择一名内科医生,在进行专科治疗时,必须听取该医生的建议。初级医疗医生管理他帐户下的病人治疗费用的支付。年终时分担亏损和分享盈利。在经营四年后,联合保健治疗已拥有610名基层医生,治疗了23,000例患者。1978年,每1,000 名患者中,医院总床位应用是293天,与此相比,蓝十字会则是479天;住院率是88/1000,对101/1,000。平均住院时间分别是3.3天和4.7天。虽然大家公认,大部分保健治疗开支是由医生决定的,但是,现存的服务报酬体制并不能鼓励病人或医生使用经费得当。由于广泛使用了第三方面补偿的办法,反而有助于增加费用。这是由于对医生、医院实行补偿,病人又与直接付款无关造成。这种新的机构调整了医疗保健付款办法,改变了刺 The grass-roots doctors who encourage private practice are formed into a new type of independent business entity, the joint health care treatment, which has become the coordinator and fund manager of the treatment. Each patient chooses a physician who must take advice from the doctor when performing specialist treatment. The primary medical doctor manages the payment of patient treatment costs under his account. Share losses and share profits at the end of the year. After operating for four years, United Health Care had 610 primary doctors and treated 23,000 patients. In 1978, for every 1,000 patients, the total hospital bed application was 293 days, compared with 479 days for the Blue Cross; the hospitalization rate was 88/1000 versus 101/1,000. The average length of stay was 3.3 days and 4.7 days, respectively. Although it is generally accepted that most health care treatment expenses are determined by doctors, the existing service payment system does not encourage the use of funds by patients or doctors. Due to the widespread use of compensation in the third area, it will help increase costs. This is due to compensation for doctors and hospitals, and the patient has nothing to do with direct payments. This new agency adjusted the healthcare payment method and changed the thorn