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面对费用调节的威胁,美国弗蒙特(Ver-mont)的医院已说服政府政策制定者把提高质量作为控制卫生保健费用的第一方案。由医院、医生、付款者、保险公司和政府倡议成立了“弗蒙特卫生保健质量规划”的非盈利性机构,负责制定医生开业准则以减少那些费用大、且不适宜的医院服务,并希望明年开始收集临床资料,于1992年发行医生开业准则第一版。其理事会主席MildredReardon 说:这是项自发性工作研究计划,得到卫生保健费用各方的支持,全产业的赞助又使它有更高的成功机会。
Faced with the threat of cost adjustment, the Ver-mont hospital in the United States has persuaded government policy makers to use quality improvement as the first option to control health care costs. A non-profit organization set up by the hospital, doctors, payers, insurance companies, and the government to establish “Vermont Health Care Quality Planning” is responsible for setting doctors’ guidelines for opening up hospitals to reduce expensive and unsuitable hospital services, and hopes to see next year Started collecting clinical data and issued the first edition of the doctor’s practice guidelines in 1992. Its board chairman Mildred Reardon said: This is a voluntary work research program, which is supported by all parties involved in health care costs. The sponsorship of the entire industry gives it a higher chance of success.