Criteria and Guidelines for Reforming the U.S. Health Care System
Shortell, Stephen M.
McNerney, Walter J.
New England Journal of Medicine. 1990 Feb 15; 322(7): 463-467.
This Sounding Board commentary offers a perspective on reform of the American health care system. Shortell and McNerney argue that changes in delivery are likely to be incremental because of our inability to devise a system that is acceptable to a broad cross section of the public. Different approaches to the problem of health care are being advocated, and the authors offer guidelines that can be used as reference points for all proposals. Their themes of assessment and accountability are reflected in five criteria: a set of benefits mandated for all; the allocation of resources on the basis of defined needs; the payment of providers on the basis of performance; the establishment of clinical and fiscal accountability at the level closest to that of care delivery; and the establishment of a global cap on expenditures based on the needs of the population and the capabilities of providers in the area. (KIE abstract)
Showing items related by title, author, creator and subject.