Regional health care systems: implications for health care reform.
Not only should there be payment reform, but health care delivery should be redesigned to achieve the triple goals of access to services, quality improvement, and cost control. The authors review the forces that have formed multihospital and health care systems in the past, and the seven stages that health care systems traverse toward competency. They briefly discuss the implications of those realities for reform implementation. One premise is that the natural evolution of such health care systems toward competency will take a longer time than most nonproviders expect.
Jones
W J
WJ
New Century Healthcare Institute, San Francisco, CA.
Mayerhofer
J J
JJ
D003153:Community Health Services / Q000458:organization & administration; D003695:Delivery of Health Care / Q000458:organization & administration; D018166:Health Care Reform / Q000458:organization & administration*; D009096:Multi-Institutional Systems / Q000458:organization & administration*; D012040:Regional Health Planning / Q000379:methods; D012041:Regional Medical Programs / Q000458:organization & administration*; D014481:United States