A rationale is presented for considering demand management as well as supply management (managed care) in the current debate on health care reform.
Demand management is the support of individuals so that they may make rational health and medical decisions based on a consideration of benefits and risks.
The concept of demand for medical services is examined within a theoretical framework offour components : morbidity, perceived need, patient preference, and non health motives.
Two components, perceived need and patient preference, are suggested to offer considerable potential for making utilization more appropriate and reducing costs.
Current demand services and potential hazards related to their continued expansion are discussed.
Mots-clés Pascal : Rapport coût bénéfice, Education sanitaire, Population, Malade, Politique sanitaire, Etats Unis, Demande, Système santé, Economie santé, Adéquation, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Cost benefit ratio, Health education, Population, Patient, Health policy, United States, Demand, Health system, Health economy, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0397124
Code Inist : 002B30A01B. Création : 01/03/1996.