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经济学人双语版

经济学人:私人医疗保健问题的解决者

属类：时事政治-

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(1). Private health care

私人医疗保健

(2). The problem-solvers

问题的解决者

(3). Hints of how to provide better health care for less money

有关花更少的钱获得更多的医疗保健的建议

(4). 1:CHENMED doesn't look like much. Its clinic north ofMiamihas a modest waiting area and circle of examination rooms.
2:But every action is engineered and tracked.
3:Jennifer Thomas, a senior executive, pores over data. Whiteboards on her walls are covered with diagrams, a vestige from her days at McKinsey, a consultancy.
4:“We've kind of figured it out,” she says.

1:CHENMED这家公司看起来和其他公司不太一样。它在迈阿密以北的一个诊所里，不仅有一个舒适的等候室，还有一个圆形的监查区。
2:然而他们的每一个行动都是被好好设计和跟踪的。
3:高级主管阵妮佛·托马斯，她墙上的白板上画满了图表，这是她在麦肯锡咨询公司工作时留下的习惯。
4:“我们搞懂了这件事。”她说。

(5). 1:“It” is how to care for the most expensive patients in the world's most expensive health system.
2:ChenMed is devoted to poor elderly people who may have half a dozen chronic conditions.
3:It profits when they are kept well and their health-care costs are kept low.
4:Clinics like ChenMed are the exception, not the rule.
5:But the company is one of many that provide a hint of how American health care might work better.

1:“这件事”是指如何在世界上最昂贵的医疗系统下照顾诊费最高的病人。
2:ChenMed致力于照看那些全身都是慢性疾病的贫困老年人。
3:只有把人照顾得好且所用医疗费用低时公司才能获利。
4:像ChenMed这样的诊所是一个特殊的例子，不是普遍地规律。
5:然而这家公司和其他众多的公司一样，可以为美国医疗体制更好地运行提供一些建议。

(6). ChenMed is led by Christopher Chen, a doctor and the son of the company's founder, a Taiwanese immigrant. Other members of the Chen family hold senior positions, but they have been joined by high-flying executives and management consultants, lured by ChenMed's model and the promise of profits as the company grows.

ChenMed是由台湾移民克里斯托弗·陈领导的。他是公司创始人的儿子，同时也是一名医生。陈家族的其他职员都持有高级职位，ChenMed向他们展示了公司未来的发展模型，并保证随着公司的发展，利润会不断增加。他们被此吸引，加入了该公司，成为了雄心勃勃的公司高管和管理顾问。

(7). 1:The idea is simple.
2:Medicare, the public health programme for the elderly, has a growing share of patients who use government money to buy private insurance.
3:ChenMed contracts with those insurers, most of which pay a capped rate for each patient, and then plies patients with primary care to keep them out of hospital.
4:ChenMed has vans to take patients to and from its clinics—lack of transport often keeps elderly patients from seeing their doctors.
5:Once at the clinic, patients wave a card at the front desk and are automatically checked in.
6:Staff perform a tightly choreographed routine, with data fed back to Ms Thomas and others to find further improvements.

1:这个想法很简单。
2:由于针对老年人的医疗保险和公共卫生计划的不断发展，越来越多的患者拿政府的钱来购买私人保险。
3:ChenMed和那些保险公司签订合同，其中大部分为每位患者支付一个最高金额，然后为患者配备初级的护理，让他们出院。
4:ChenMed还有专用的货车带患者往返于患者的住处和诊所，因为缺乏交通工具是阻碍老年患者就医的一个常见问题。
5:到了诊所，患者在前台刷卡就能自动登记。
6:员工遵循一个严格设计过的步骤，然后把数据反馈给托马斯女士和其他人，以便寻求进一步改善。

(8). 1:Examination rooms circle a central hub so that doctors can confer easily with assistants and specialists.
2:A mobile app lets doctors see patients' medical records and refer to clinical protocols.
3:The clinic has a pharmacy, so doctors give patients pills directly and answer any questions; failing to take medicine often sends patients to hospital.
4:Most administration is centralised elsewhere, so staff at the clinic devote their attention to treatment.

1:监察室环绕着一个中心呈圆形排列，这样医生可以方便地和助手和专家探讨问题。
2:一个移动应用程序能让医生看到患者的医疗记录并参考临床方案。
3:不按时吃药是患者在医院反复折腾的重要原因之一，所以，诊所配有自己的药房，医生可以直接给患者开药并回答患者提出的所有问题。
4:大部分政府部门的精力都集中在其他地方，所以诊所的员工专注于治疗。

(9). This seems to work. Medicare patients at ChenMed spent nearly 40% fewer days in hospital than the national average. Thanks to a venture with Humana, a big insurer, it has expanded to three dozen clinics. Dr Chen is bullish. “We don't see why we can't grow by 300% to 400% over the next five years,” he says.

这样做似乎很有效果。在ChenMed就医的医疗保险患者相比全国水平而言，在医院少呆了40%的时间。由于一个大保险公司胡玛纳的加入，ChenMed名下已经有两36家诊所，陈博士很乐观，他说“我们不明白我们为什么不能在未来的五年内增长300%到400%。”