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首页> 外文期刊>Archives of family medicine >Continuity of care, informed consent, and fiduciary responsibilities in for-profit managed care systems.
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Continuity of care, informed consent, and fiduciary responsibilities in for-profit managed care systems.

机译：营利性托管护理系统中的护理连续性，知情同意和受托责任。

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摘要

The replacement of fee-for-service systems by managed care systems offers opportunities for cutting medical costs, integrating health care delivery systems, and improving communication among physicians. Before these benefits can be realized, however, a number of problems must be addressed. First, managed care systems must find ways to foster continuity of care in a market that has thus far proved unstable. Second, managed care systems must find ways to protect the patient's right to fully informed consent even while educating patients about the importance of cost-effectiveness and why certain treatments might not be included in their health plan. Third, managed care systems must find ways to promote physicians' fiduciary responsibilities to patients and to respect physicians' clinical judgments even while creating legitimate incentives to provide cost-effective health care.
机译：用管理式医疗系统取代按服务付费系统，为削减医疗成本，整合医疗服务系统以及改善医师之间的交流提供了机会。但是，在实现这些好处之前，必须解决许多问题。首先，托管医疗系统必须找到方法，以在迄今证明不稳定的市场中促进护理的连续性。其次，管理式医疗体系必须设法保护患者的知情同意权，即使在向患者介绍成本效益的重要性以及为什么某些治疗方法可能未包括在其健康计划中的情况下也是如此。第三，管理式医疗体系必须设法提高医师对患者的信托责任，并尊重医师的临床判断，甚至在建立合理的诱因以提供具有成本效益的医疗保健时也应如此。

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