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管理化医疗保健(managed care)是指在限定的卫生服务供方网络中提供卫生服务的一种方法,供方有责任管理和提供符合成本效益的有效的卫生服务。本文将简要地介绍管理化医疗保健的演变及目前的模式、家庭医师在其中的作用等问题。1 管理化医疗保健的演变 管理化医疗保健于本世纪二十年代最早起源于美国。二十世纪九十年代是美国医学的重建时代。在此以前,美国的医疗服务主要是由私人医生提供的,不论是私人开业医生还是在医院工作的医生、实验师、药剂师、放射技师及理疗师等,都归属于某一独立的商业集
Managed care refers to a method of providing health services in a limited network of health service providers. It is the supplier’s responsibility to manage and provide cost-effective and effective health services. This article will briefly introduce the evolution of managed healthcare and the current model, and the role of family physicians in it. 1 Evolution of Managed Health Care Managed health care originated in the United States in the early 1920s. The 1990s were the era of the reconstruction of American medicine. Prior to this, medical services in the United States were mainly provided by private doctors. Whether private doctors or doctors, experimenters, pharmacists, radiologists, and physiotherapists working in hospitals belonged to an independent business set.