Children with chronic illnesses and disabilities are increasingly enrolling in managed care arrangements.
Yet, the rapid expansion of managed care has unknown consequences for children with chronic conditions and disabilities.
As managed care is likely to become the predominant mode of medical practice for children with chronic health problems, information gained from a thorough assessment of existing managed care models could be helpful in indicating adjustments and modifications that could result in improved outcomes for this population.
The purpose of this article is to outline a new strategy for collecting needed information on the effects of managed care on children with chronic health problems.
We reviewed the literature on the effects of managed care on children with chronic conditions and disabilities.
We identified key domains relevant to monitoring and evaluating managed care for this population.
Two research approaches can provide helpful information for assessing the effects of managed care on children with chronic conditions.
First, a monitoring strategy could be pursued in which enrollment trends in managed care, enrollee perceptions of access and satisfaction with care, and other general indicators of outcomes would be tracked over time using inexpensive and rapid turnaround data sources. (...)
Mots-clés Pascal : Maladie, Handicap, Chronique, Surveillance, Soin, Organisation, Système santé, Enquête, Service santé, Effet psychologique, Enfant, Homme
Mots-clés Pascal anglais : Disease, Handicap, Chronic, Surveillance, Care, Organization, Health system, Survey, Health service, Psychological effect, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0033556
Code Inist : 002B30A03B. Création : 21/05/1997.